County of Decatur

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF DECATUR

Doing business as

Decatur County Health Department

Practice address

902 W Columbia St
Oberlin, KS 67749-2412

Phone

(785) 475-8118

Fax

(785) 475-8143

NPI assigned

Sep 22, 2005

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Marilyn M Gamblin, RN

Title

Administrator

Phone

(785) 475-8118

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Decatur County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Decatur

  dba Decatur County Ambulance Service

  • Ambulance
  • Oberlin, KS
  • NPI 1790748275

  8224085980

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

County of Decatur2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Decatur

  dba Decatur County Ambulance Service

  • Ambulance
  • Oberlin, KS
  • NPI 1790748275
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1033105358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492412",
            "telephone_number": "785-475-8118",
            "fax_number": "785-475-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492412",
            "telephone_number": "785-475-8118",
            "fax_number": "785-475-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DECATUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "GAMBLIN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-475-8118",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089260",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "012748",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Applied Computer Technology Inc (Addleman Drug Store)
• Gary M Bartels, CRNA
• Andrea Burmaster, RN
• Cedar Living Center
• Derek Michael Chambers, PHARMD
• County of Decatur (Decatur County Ambulance Service)
• Decatur Health Systems Inc (Decatur Health Systems Family Practice Clinic)
• Decatur Health Systems Inc
• Decatur Health Systems Inc (Decatur Health)
• Decatur Health Systems Inc (Decatur Health)

• Public Health or Welfare Agency in Oberlin, KS
• Providers in Oberlin, KS by specialty
• Public Health or Welfare Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.