Provider Demographics
NPI:1053415471
Name:CITY OF CLIFTON
Entity type:Organization
Organization Name:CITY OF CLIFTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DETRIXHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-455-3711
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:KS
Mailing Address - Zip Code:66937
Mailing Address - Country:US
Mailing Address - Phone:785-455-3711
Mailing Address - Fax:
Practice Address - Street 1:104 E. PARALLEL
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:KS
Practice Address - Zip Code:66937
Practice Address - Country:US
Practice Address - Phone:785-455-3711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS370341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100091970AMedicaid
KS100091970AMedicaid
KS100091970AMedicaid