Organization
CITY OF MOUNDRIDGE
Active
Other names
Moundridge EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE VICKREY (BILLING)
(620) 345-3657
Entity
Organization
Contact information
Practice address
225 N WEDEL AVE, MOUNDRIDGE, KS 67107-7540
(620) 345-3657
(620) 345-3665
Mailing address
225 N WEDEL AVE, MOUNDRIDGE, KS 67107-7540
(620) 345-3657
(620) 345-3665
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1350
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005643
BLUE CROSS BLUE SHIELD OF KS
KS
05
—
100091790A
—
KS
Enumeration date
01/26/2007
Last updated
11/15/2024
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