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Organization

CITY OF CENTRALIA

Active
Other names
Centralia Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY A WHITE (CITY CLERK)
(785) 857-3764
Entity
Organization

Contact information

Practice address
708 SECOND ST, CENTRALIA, KS 66415-0247
(785) 857-3526
(785) 857-3372
Mailing address
PO BOX 247, 517 4TH STREET, CENTRALIA, KS 66415-0247
(785) 857-3764
(785) 857-3372

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
270
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100242980A
KS
Enumeration date
03/15/2006
Last updated
01/22/2010
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