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Organization

BRUCE'S BODY SHOP INC.

Active
Other names
bruce's body shop inc. dba marysville ambulance service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES L KELLER (PRESIDENT)
(785) 562-2359
Entity
Organization

Contact information

Practice address
1204 CENTER ST, MARYSVILLE, KS 66508-1727
(785) 562-2359
(785) 562-3159
Mailing address
PO BOX 148, MARYSVILLE, KS 66508-0148
(785) 562-2359
(785) 562-3159

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
1180
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000112016
BLUE CROSS BLUE SHIELD
KS
Enumeration date
11/14/2005
Last updated
08/22/2020
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