Organization
COUNTY OF HODGEMAN
Active
Other names
HODGEMAN COUNTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JASON LONNBERG (DIRECTOR)
(620) 357-8500
Entity
Organization
Contact information
Practice address
504 ROUGHTON, JETMORE, KS 67854-9320
(620) 357-8500
(620) 357-6120
Mailing address
PO BOX 185, JETMORE, KS 67854-0185
(620) 357-8361
(620) 357-6120
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005509
BLUE SHIELD OF KANSAS
KS
Enumeration date
10/13/2006
Last updated
10/30/2020
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