Organization
CITY OF ELLINWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE M. GLENN NREMT-P (EMS DIRECTOR)
(620) 564-2408
Entity
Organization
Contact information
Practice address
104 E 2ND ST, ELLINWOOD, KS 67526-1627
(620) 564-2408
(620) 564-2401
Mailing address
PO BOX 278, ELLINWOOD, KS 67526-0278
(620) 564-2408
(620) 564-2401
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
550
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092010-A
—
KS
Enumeration date
09/06/2005
Last updated
07/07/2008
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