Organization
COUNTY OF STANTON
Active
Other names
Stanton County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L RICHARDSON (DIRECTOR)
(620) 492-6879
Entity
Organization
Contact information
Practice address
101 S FRONTAGE ROAD, JOHNSON, KS 67855-0572
(620) 492-6879
(620) 492-1445
Mailing address
BOX 572, 101 S. FRONTAGE ROAD, JOHNSON, KS 67855-0572
(620) 492-6879
(620) 492-1445
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1860
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097820B
—
KS
05
—
100097820BKS
—
KS
01
—
112009
BLUE CROSS
KS
Enumeration date
04/27/2006
Last updated
01/03/2020
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