Provider Demographics
NPI:1548685605
Name:COFFEY COUNTY TRANSPORTATION
Entity type:Organization
Organization Name:COFFEY COUNTY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-364-1935
Mailing Address - Street 1:520 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66839-1108
Mailing Address - Country:US
Mailing Address - Phone:620-364-1935
Mailing Address - Fax:620-364-1935
Practice Address - Street 1:520 CROSS ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KS
Practice Address - Zip Code:66839-1108
Practice Address - Country:US
Practice Address - Phone:620-364-1935
Practice Address - Fax:620-364-1935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)