17D2159416 CLIA NUMBER - BOURBON COUNTY EMS

Laboratory Demographics

CLIA Number: 17D2159416

Facility Name: BOURBON COUNTY EMS

Facility Address:
405 WOODLANDHILLS BLVD
FORT SCOTT, KS
ZIP 66701
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Facility Phone Number: 620 223-2140

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1053880005

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	17D2159416
LAB Type	Ambulance
Facility Name	BOURBON COUNTY EMS
Street	405 WOODLANDHILLS BLVD
City	FORT SCOTT
State	KS
ZIP	66701
Phone	620 223-2140
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024