# BENNINGTON AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ottawa County Fire District \#4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932292505
- **Authorized official:** DAVID SWETSON EMT-I (SERVICE DIRECTOR)
- **Authorized official phone:** (785) 488-3768

## Contact information

- **Practice address:** 584 N. 180TH ROAD, BENNINGTON, KS 67422
- **Practice address phone:** (785) 488-3768
- **Practice address fax:** (785) 488-3375
- **Mailing address:** 584 N. 180TH ROAD, BENNINGTON, KS 67422
- **Mailing address phone:** (785) 488-3768
- **Mailing address fax:** (785) 488-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 150 | KS | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 02/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100091580B | — | KS |