Provider Demographics
NPI:1114195856
Name:DIANNE BECKER
Entity Type:Organization
Organization Name:DIANNE BECKER
Other - Org Name:PLAINVILLE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-434-2530
Mailing Address - Street 1:1111 S.W. 8TH
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67663
Mailing Address - Country:US
Mailing Address - Phone:785-434-2530
Mailing Address - Fax:785-434-2552
Practice Address - Street 1:1111 S.W. 8TH
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:KS
Practice Address - Zip Code:67663
Practice Address - Country:US
Practice Address - Phone:785-434-2530
Practice Address - Fax:785-434-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1530333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000019099OtherBLUE CROSS BLUE SHIELD
KS100243690AMedicaid
KS100243690AMedicaid