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Organization
CITY OF WASHINGTON
Active
Organization
CITY OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE A SCOVILLE (EMT)
(785) 325-2284
Entity
Organization
Contact information
Practice address
900 D ST, WASHINGTON, KS 66968-2402
(785) 325-2284
(785) 325-2678
Mailing address
PO BOX 296, 301 C STREET, WASHINGTON, KS 66968-0296
(785) 325-2284
(785) 325-2678
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2040
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005518
BLUE CROSS BLUE SHIELD KS
KS
05
—
100091490A
—
KS
01
—
180833
UCARE OF MINNESOTA ID
KS
01
—
826590031
RAILROAD MEDICARE ID
KS
Enumeration date
08/11/2005
Last updated
11/29/2012
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