Organization
CITY OF WATERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN J. WANAMAKER ADVANCED EMERGENCY M (AMBULANCE DIRECTOR)
(785) 363-2367
Entity
Organization
Contact information
Practice address
136 E. COMMERCIAL, WATERVILLE, KS 66548
(785) 363-2367
(785) 363-2524
Mailing address
P.O. BOX 387, 136 E. COMMERCIAL, WATERVILLE, KS 66548
(785) 363-2367
(785) 363-2524
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243540A
—
KS
Enumeration date
09/08/2006
Last updated
02/15/2013
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