Organization
SUBLETTE HOSPITAL DIST
Active
Other names
DBA Sublette Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DIANNE BROWN (DIRECTOR)
(620) 675-8466
Entity
Organization
Contact information
Practice address
101 N CODY, SUBLETTE, KS 67877
(620) 675-8466
(620) 675-8496
Mailing address
PO BOX 980, SUBLETTE, KS 67877
(620) 675-8466
(620) 675-8496
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005740
BCBS OF KS
KS
01
—
P00307085
RR MEDICARE
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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