BRUCE'S BODY SHOP INC. (NPI# 1124000401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124000401 |
Entity Type | Organization |
Organization Name | BRUCE'S BODY SHOP INC. |
Other Organization Name | BRUCE'S BODY SHOP INC. DBA MARYSVILLE AMBULANCE SERVICE |
Practice Address |
1204 Center St Marysville KS 66508-1727 |
Mailing Address |
Po Box 148 Marysville KS 66508-0148 |
Practice Telephone | 7855622359 |
Practice Fax Number | 7855623159 |
Mailing Telephone | 7855622359 |
Mailing Fax Number | 7855623159 |
Enumeration Date | 2005-11-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JAMES L KELLER (PRESIDENT) |
Authorized Official Telephone | 7855622359 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146L00000X | Emergency Medical Technician, Paramedic | 1180 | KS | Emergency Medical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS BLUE SHIELD | 00000112016 | 01 |
Other Name | Type Code |
---|---|
bruce's body shop inc. dba marysville ambulance service | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | BRUCE'S BODY SHOP INC. | 2551 Homeview Dr, Richmond, Virginia 23294 |
Street Address |
1204 CENTER ST |
City | MARYSVILLE |
State | KS |
Zip Code | 66508-1727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962466383 | Bruces Body Shop Inc | Ambulance | 410 N 6th St, Marysville, KS 66508 | 2006-04-13 |
1447334453 | Ar - Ex Drug Store Inc | Durable Medical Equipment & Medical Supplies | 801 Broadway, Marysville, KS 66508 | 2006-10-25 |
1730279480 | Blue Valley Health Care, Inc. | Skilled Nursing Facility | 1100 N 16th St, Marysville, KS 66508-1126 | 2006-10-13 |
1811913270 | John M Ryan | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-15 |
1134423304 | Linda Marie Bott | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2011-01-03 |
1417963133 | Fernando De La Torre Ugarte | Surgery | 1902 May St, Marysville, KS 66508-1200 | 2006-08-01 |
1295749067 | Community Memorial Healthcare, Inc. | Clinic/Center | 1902 May St, Marysville, KS 66508-1200 | 2006-07-28 |
1467475186 | John A Haefele | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-25 |
1629098843 | Anne C Bruna | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2006-07-20 |
1992725519 | Randall J Brown | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-19 |
Find all providers in zip 66508 |
Taxonomy Code | 146L00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Paramedic |
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487787438 | Tom J Hogan | Emergency Medical Technician, Paramedic | 101 W Ave D, Cimarron, KS 67835 | 2007-03-13 |
1407899685 | County of Ellsworth | Emergency Medical Technician, Paramedic | 1107 Evans St, Ellsworth, KS 67439-2553 | 2006-06-14 |
1629034814 | City of Junction City | Emergency Medical Technician, Paramedic | 700 N Jefferson St, Junction City, KS 66441-2979 | 2006-04-25 |
1679536635 | David Keith Fitzhugh | Emergency Medical Technician, Paramedic | 600 Park St, Cunningham Hall 139, Hays, KS 67601-4009 | 2006-04-10 |
1558361162 | County of Miami | Emergency Medical Technician, Paramedic | 32765 Clover Dr, Paola, KS 66071-4781 | 2005-07-26 |
1245237239 | Alan D Bagby | Emergency Medical Technician, Paramedic | 105 Karen Dr, Holton, KS 66436-1570 | 2005-07-05 |
1063415172 | City of Emporia | Emergency Medical Technician, Paramedic | 120 E 5th Ave, Emporia, KS 66801-3918 | 2005-05-23 |
1306244611 | Kimberly Widler | Emergency Medical Technician, Paramedic | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2014-12-18 |
1114335825 | Curtis F Osland | Emergency Medical Technician, Paramedic | 203 N Broadway, Abilene, KS 67410 | 2014-07-25 |
City | MARYSVILLE |
Zip Code | 66508 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.