City of Hesston

Organization Active NPI Basic Emergency Medical Technician · Hesston, KS

NPI 1013972041 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013972041
Entity type
Organization (NPI type 2)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
790 (KS)
Legal business name
CITY OF HESSTON
Practice address
115 East Smith Street
Hesston, KS 67062
Phone
(620) 327-4412
Fax
(620) 327-4595
NPI assigned
Apr 20, 2006
Organization subpart
No

Authorized official

Name
Mr. Russell C Buller, MICT
Title
Director of Emergency Services
Phone
(620) 327-4412

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0686611City of Hesston Ambulance
115 E Smith, Hesston, KS 67062
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050420000080 KS Part B Supplier - Ambulance Service Supplier 6204874316 Practice locations: Hesston, KS

National Provider Directory

Locations

115 E Smith St
Hesston, KS 67062
Phone (316) 327-4412

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician
Group: 193400000X SINGLE SPECIALTY GROUP
146N00000X 790 KS Yes

Addresses

Primary practice location

115 East Smith Street
Hesston, KS 67062

Mailing address

115 East Smith Street
Hesston, KS 67062
Phone (620) 327-4412

Other names

  • Hesston Ambulance Department Doing business as

Other providers in Hesston, KS

All providers in Hesston, KS · Basic Emergency Medical Technician in Kansas

Sources for this page

Verify at the official NPI Registry.