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Organization
SUBLETTE HOSPITAL DIST
Active
Organization
SUBLETTE HOSPITAL DIST
Active
Other names
DBA Sublette Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DIANNE BROWN (DIRECTOR)
(620) 675-8466
Entity
Organization
Contact information
Practice address
101 N CODY, SUBLETTE, KS 67877
(620) 675-8466
(620) 675-8496
Mailing address
PO BOX 980, SUBLETTE, KS 67877
(620) 675-8466
(620) 675-8496
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005740
BCBS OF KS
KS
01
—
P00307085
RR MEDICARE
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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