# CITY OF WASHINGTON

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

## Provider details

- **NPI number:** 1972505758
- **Authorized official:** MRS. CAROLINE A SCOVILLE (EMT)
- **Authorized official phone:** (785) 325-2284

## Contact information

- **Practice address:** 900 D ST, WASHINGTON, KS 66968-2402
- **Practice address phone:** (785) 325-2284
- **Practice address fax:** (785) 325-2678
- **Mailing address:** PO BOX 296, 301 C STREET, WASHINGTON, KS 66968-0296
- **Mailing address phone:** (785) 325-2284
- **Mailing address fax:** (785) 325-2678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2040 | KS | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 11/29/2012

## 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 |
