Organization
COUNTY OF JEFFERSON
Active
Other names
Jefferson County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. TWEED (DIRECTOR)
(785) 863-2278
Entity
Organization
Contact information
Practice address
1250 WALNUT ST, OSKALOOSA, KS 66066
(785) 863-2278
(785) 863-3145
Mailing address
1250 WALNUT, OSKALOOSA, KS 66066
(785) 863-2278
(785) 863-3145
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
870
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005882
BCBS PROVIDER NUMBER
KS
05
—
100089340D
—
KS
05
—
410300
—
KS
05
—
805808508
—
MO
Enumeration date
09/27/2006
Last updated
03/18/2011
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