Organization
CITY OF CONWAY SPRINGS
Active
Other names
CONWAY SPRINGS VOLUNTEER EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WISE (CITY CLERK)
(402) 572-4019
Entity
Organization
Contact information
Practice address
310 WEST SPRING, CONWAY SPRINGS, KS 67031
(402) 572-4019
(402) 965-8594
Mailing address
208 W SPRING AVE, CONWAY SPRINGS, KS 67031-8288
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
440
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005803
BLUE CROSS PROVIDER NO
KS
05
—
100092130A
—
KS
01
—
P00124077
RAILROAD MEDICARE PROVIDE
—
Enumeration date
04/19/2006
Last updated
12/12/2008
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