Organization
COUNTY OF RUSSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN KUNTZSCH (CHAIRMAN OF RUSSELL CTY COMMISSIONE)
(787) 483-6226
Entity
Organization
Contact information
Practice address
311 S FOSSIL ST, RUSSELL, KS 67665-3031
(785) 324-2752
(785) 445-3722
Mailing address
401 MAIN ST, RUSSELL, KS 67665-2920
(785) 483-6226
(785) 483-2756
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1685
KS
Other
Enumeration date
10/10/2011
Last updated
04/24/2012
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