Organization
CITY OF CENTRALIA
Active
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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