# CITY OF WATERVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487758702
- **Authorized official:** MR. KEN J. WANAMAKER ADVANCED EMERGENCY M (AMBULANCE DIRECTOR)
- **Authorized official phone:** (785) 363-2367

## Contact information

- **Practice address:** 136 E. COMMERCIAL, WATERVILLE, KS 66548
- **Practice address phone:** (785) 363-2367
- **Practice address fax:** (785) 363-2524
- **Mailing address:** P.O. BOX 387, 136 E. COMMERCIAL, WATERVILLE, KS 66548
- **Mailing address phone:** (785) 363-2367
- **Mailing address fax:** (785) 363-2524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2060 | KS | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 02/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100243540A | — | KS |