City of Arkansas City
Organization Active NPI Land Ambulance · Arkansas City, KS
NPI 1043318520 · NPPES record last updated Nov 21, 2012
Key facts
- NPI
- 1043318520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 60 (KS)
- Legal business name
- CITY OF ARKANSAS CITY
- Practice address
- 115 S D St
Arkansas City, KS 67005-2622 - Phone
- (620) 441-4411
- Fax
- (580) 628-2273
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeri Smith
- Title
- EMS Director
- Phone
- (620) 441-4430
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0982237 | Arkansas City Fire-EMS Dept | Certificate of waiver | Jun 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420000941 | KS | Part B Supplier - Ambulance Service Supplier | 4385697465 | Practice locations: Arkansas City, KS |
National Provider Directory
Locations
115 S D St
Arkansas City, KS 67005
Phone (620) 441-4409
115 W Central Ave
Arkansas City, KS 67005
118 W Central Ave
Arkansas City, KS 67005
Phone (620) 441-4430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 60 | KS | Yes |
Addresses
Primary practice location
115 S D St
Arkansas City, KS 67005-2622
Mailing address
PO Box 778
Arkansas City, KS 67005-0778
Phone (800) 538-8278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000005700 | Other | KS | BC/BS PROVIDER NUMBER |
| 100242950A | Medicaid | KS |
Other providers in Arkansas City, KS
- Justine Bruce
- Lakynn Clarice Burris
- Amy Lynne Burton
- Caring Hearts in-Home Care Inc.
- Ainsley Grace Carson
- Christi Clark
- Amy D Coldren
- Community Health Center in Cowley County Inc
- Community Health Center in Cowley County Inc
- Connie M. Dulohery
All providers in Arkansas City, KS · Land Ambulance in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.