Organization
BALLARD AVIATION INC
Active
Other names
EAGLEMED
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN ZON (DIRECTOR OF ADMINISTRATION)
(800) 764-3343
Entity
Organization
Contact information
Practice address
6601 PUEBLO DR, WICHITA, KS 67209-2926
(800) 764-3343
(316) 613-4801
Mailing address
6601 PUEBLO DR, WICHITA, KS 67209-2926
(800) 764-3343
(316) 613-4801
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
930
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96001920
—
CO
Enumeration date
08/12/2005
Last updated
04/20/2008
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