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Organization
GOODLAND REGIONAL MEDICAL CENTER
Active
Organization
GOODLAND REGIONAL MEDICAL CENTER
Active
Other names
Northwest Kansas Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JOLLY (CEO)
(785) 890-3625
Entity
Organization
Contact information
Practice address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
(785) 890-6047
Mailing address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
(785) 890-6047
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1440
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005590
BLUE CROSS
KS
Enumeration date
01/08/2007
Last updated
01/10/2008
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