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Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Active
Other names
Russell Regional Hospital Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CAUDILL (CEO)
(785) 483-3131
Entity
Organization
Contact information
Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Mailing address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
H084001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104400B
—
KS
05
—
100306710F
—
KS
01
—
112005
BLUE SHIELD
KS
Enumeration date
04/17/2006
Last updated
11/16/2022
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