Healthcare Provider Details
I. General information
NPI: 1265509566
Provider Name (Legal Business Name): BUHLER EMS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 N. MAIN
BUHLER KS
67522
US
IV. Provider business mailing address
PO BOX 317
BUHLER KS
67522
US
V. Phone/Fax
- Phone: 620-543-2168
- Fax: 620-543-6460
- Phone: 620-543-2168
- Fax: 620-543-6460
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 200 |
| License Number State | KS |
VIII. Authorized Official
Name:
KARI
L.
BANNING
Title or Position: DIRECTOR
Credential: MICT, BSN
Phone: 620-543-2168