# HAVEN COMMUNITY EMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAVEN COMMUNITY AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114992096
- **Authorized official:** TONY TROYER (EMS DIRECTOR)
- **Authorized official phone:** (620) 728-4563

## Contact information

- **Practice address:** 120 S KANSAS ST, HAVEN, KS 67543-9278
- **Practice address phone:** (620) 465-2364
- **Practice address fax:** (620) 465-2364
- **Mailing address:** PO BOX 468, TONKAWA, OK 74653-0468
- **Mailing address phone:** (620) 465-3618
- **Mailing address fax:** (580) 628-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 780 | KS | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 01/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100091720A | — | KS |
| 05 | — | 200613870A | — | KS |