Organization Name: | PHILLIPS COUNTY |
NPI Number: | 1104815265 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY JAYNE HOLLE (ADMINISTRATOR) |
Mailing Address: | 409 E St Box 309 Phillipsburg |
State: | KS US |
Postal Code: | 676611656 |
Phone Number: | 7855436805 |
Fax Number: | 7855436806 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 04/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 1510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |