Organization
CITY OF LAWRENCE
Active
Other names
Lawrence Douglas County Fire Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN D COFFEY (INTERIM FIRE CHIEF)
(785) 830-7000
Entity
Organization
Contact information
Practice address
1911 STEWART AVE, LAWRENCE, KS 66046
(785) 830-7000
(785) 830-7090
Mailing address
1911 STEWART AVE, LAWRENCE, KS 66046-2516
(785) 830-7000
(785) 830-7090
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
995
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273470-A
—
KS
01
—
119992
BC BS OF KANSAS
KS
01
—
590010886
RAILROAD MEDICARE
KS
Enumeration date
06/10/2005
Last updated
06/04/2020
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