Organization Name: | GREENLEAF AMBULANCE SERVICE |
NPI Number: | 1558346957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WANDA HILTGEN (SERVICE DIRECTOR) |
Mailing Address: | 507 5th Street Greenleaf |
State: | KS US |
Postal Code: | 66943 |
Phone Number: | 7857472858 |
Fax Number: | 7857472212 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |