Organization
GREENLEAF AMBULANCE SERVICE
Active
Organization
GREENLEAF AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA HILTGEN EMT-I (SERVICE DIRECTOR)
(785) 747-2858
Entity
Organization
Contact information
Practice address
507 5TH STREET, GREENLEAF, KS 66943
(785) 747-2858
(785) 747-2212
Mailing address
507 5TH STREET, GREENLEAF, KS 66943
(785) 747-2858
(785) 747-2212
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
720
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119984
BCBS
KS
Enumeration date
12/08/2005
Last updated
08/22/2020
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