Organization
CITY OF CHERRYVALE
Active
Organization
CITY OF CHERRYVALE
Active
Other names
Cherryvale Emergency Service
Organization subpart
No
Provider details
NPI number
Authorized official
RON DAVIS (AMBULANCE DIRECTOR)
(620) 336-2121
Entity
Organization
Contact information
Practice address
116 S NEOSHO ST, CHERRYVALE, KS 67335-2018
(800) 538-8278
(580) 628-2273
Mailing address
123 W MAIN ST, CHERRYVALE, KS 67335-1321
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005661
BCBS PROVIDER NUMBER
KS
05
—
100091850A
—
KS
Enumeration date
09/21/2006
Last updated
07/08/2008
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