# WEST CENTRAL KANSAS ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Russell Regional Hospital Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104880947
- **Authorized official:** DAVID CAUDILL (CEO)
- **Authorized official phone:** (785) 483-3131

## Contact information

- **Practice address:** 200 S MAIN ST, RUSSELL, KS 67665-2920
- **Practice address phone:** (785) 483-3131
- **Practice address fax:** (785) 483-4859
- **Mailing address:** 200 S MAIN ST, RUSSELL, KS 67665-2920
- **Mailing address phone:** (785) 483-3131
- **Mailing address fax:** (785) 483-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | H084001 | KS | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100104400B | — | KS |
| 05 | — | 100306710F | — | KS |
| 01 | — | 112005 | BLUE SHIELD | KS |