Organization
COUNTY OF GREENWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA PADGETT (BILLING MANAGER)
(316) 689-3551
Entity
Organization
Contact information
Practice address
400 S JEFFERSON ST, EUREKA, KS 67045-2205
(316) 689-3551
(316) 689-3556
Mailing address
PO BOX 51, EUREKA, KS 67045-0051
(316) 689-3551
(316) 689-3556
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
730
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092140B
—
KS
Enumeration date
05/17/2006
Last updated
11/21/2011
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