1629034814 NPI number — CITY OF JUNCTION CITY

Table of content: (NPI 1629034814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629034814 NPI number — CITY OF JUNCTION CITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF JUNCTION CITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JUNCTION CITY FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629034814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 N JEFFERSON ST
Provider Second Line Business Mailing Address:
P O BOX 287
Provider Business Mailing Address City Name:
JUNCTION CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66441-3598
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-238-6822
Provider Business Mailing Address Fax Number:
785-762-3684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 N JEFFERSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JUNCTION CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66441-2979
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-238-6822
Provider Business Practice Location Address Fax Number:
785-762-3684
Provider Enumeration Date:
04/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
TERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE/EMS CHIEF
Authorized Official Telephone Number:
785-238-6822

Provider Taxonomy Codes

  • Taxonomy code: 146L00000X , with the licence number:  910 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 146M00000X , with the licence number: 910 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 146N00000X , with the licence number: 910 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100091910A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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