Organization
CHEROKEE COUNTY AMBULANCE ASSOCIATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C MOGLE (SERVICE DIRECTOR)
(620) 429-3018
Entity
Organization
Contact information
Practice address
800 W POWRACHUTE WAY, COLUMBUS, KS 66725-9701
(620) 429-3018
(620) 429-1352
Mailing address
PO BOX 307, COLUMBUS, KS 66725-0307
(620) 429-3018
(620) 429-1352
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
290
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005861
BCBS OF KS
KS
05
—
100092260A
—
KS
Enumeration date
10/13/2006
Last updated
01/04/2010
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