Organization
COUNTY OF LINCOLN
Active
Other names
Lincoln County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK WALTER (AMBULANCE DIRECTOR)
(785) 524-4757
Entity
Organization
Contact information
Practice address
102 N 6TH ST, LINCOLN, KS 67455-1928
(785) 524-5216
Mailing address
216 E LINCOLN AVE, LINCOLN, KS 67455-2058
(785) 524-4757
(785) 524-5008
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1080
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243410A
—
KS
01
—
399220
1ST GUARD HEALTH
KS
Enumeration date
05/11/2006
Last updated
08/20/2020
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