Provider Demographics
NPI:1447334735
Name:CITY OF CANEY
Entity type:Organization
Organization Name:CITY OF CANEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:CITY OFFICIAL
Authorized Official - Phone:620-879-2772
Mailing Address - Street 1:100 WEST FOURTH
Mailing Address - Street 2:P. O. BOX 129
Mailing Address - City:CANEY
Mailing Address - State:KS
Mailing Address - Zip Code:67333-0129
Mailing Address - Country:US
Mailing Address - Phone:620-879-2772
Mailing Address - Fax:620-879-9808
Practice Address - Street 1:100 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:CANEY
Practice Address - State:KS
Practice Address - Zip Code:67333-1410
Practice Address - Country:US
Practice Address - Phone:620-879-2772
Practice Address - Fax:620-879-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS240341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000005695OtherBC/BS OF KANSAS
KS005695Medicare PIN