Organization
COUNTY OF FORD
Active
Other names
Ford County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
T CHRIS GOODNIGHT (COMMISSION CHAIR)
(620) 227-6465
Entity
Organization
Contact information
Practice address
100 GUNSMOKE ST, BOX 7, DODGE CITY, KS 67801-4456
(620) 227-4558
Mailing address
PO BOX 48339, WICHITA, KS 67201-8339
(316) 685-6161
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
610
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092730B
—
KS
01
—
590496178
RAILROAD MEDICARE
—
05
—
5965077
—
CO
Enumeration date
10/19/2006
Last updated
06/07/2013
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