Organization
COUNTY OF REPUBLIC
Active
Other names
Republic County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MULLIS-HAVEL (ASSISTANT DIRECTOR/BILLING CLERK)
(785) 527-7149
Entity
Organization
Contact information
Practice address
2405 F STREET, BELLEVILLE, KS 66935-2434
(785) 527-7149
(785) 527-5638
Mailing address
2405 F STREET, BELLEVILLE, KS 66935-2434
(785) 527-7149
(785) 527-5638
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1620
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005836
BLUE CROSS BLUE SHIELD
KS
05
—
100089410C
—
KS
01
—
590077732
RAILROAD MEDICARE
KS
Enumeration date
09/21/2006
Last updated
04/08/2025
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