Provider Demographics
NPI:1942341565
Name:CITY OF BONNER SPRINGS
Entity type:Organization
Organization Name:CITY OF BONNER SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN, EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:RATLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-PARAMEDIC
Authorized Official - Phone:913-422-5674
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-0038
Mailing Address - Country:US
Mailing Address - Phone:913-422-1020
Mailing Address - Fax:
Practice Address - Street 1:13001 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9302
Practice Address - Country:US
Practice Address - Phone:913-422-5674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1903416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100427090AMedicaid
KS100427090AMedicaid
KS=========OtherTAX ID #