Organization
GOODLAND REGIONAL MEDICAL CENTER
Active
Other names
Northwest Kansas Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JOLLY (CEO)
(785) 890-3625
Entity
Organization
Contact information
Practice address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
(785) 890-6047
Mailing address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
(785) 890-6047
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1440
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005590
BLUE CROSS
KS
Enumeration date
01/08/2007
Last updated
01/10/2008
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