Organization
CITY OF KINGMAN
Active
Parent organization
CITY OF KINGMAN
Other names
Kingman Emergency Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF KINGMAN
Authorized official
MR. FRANK SOUKUP (CITY MANAGER)
(620) 532-3111
Entity
Organization
Contact information
Practice address
332 N MAIN ST, KINGMAN, KS 67068-1303
(620) 532-5624
(620) 532-1293
Mailing address
PO BOX 168, KINGMAN, KS 67068-0168
(620) 532-5624
(620) 532-2393
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
950
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005798
BCBS ID#
KS
05
—
100092090A
—
KS
Enumeration date
06/13/2005
Last updated
04/10/2013
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