City of Great Bend

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

700 Issued in KS

Legal business name

CITY OF GREAT BEND

Practice address

1205 Williams St
Great Bend, KS 67530-4446

Phone

(620) 793-4140

Fax

(620) 793-4146

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Napolitano

Title

Fire Chief/EMS Director

Phone

(620) 793-4140

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1063457851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WILLIAMS ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304446",
            "telephone_number": "620-793-4140",
            "fax_number": "620-793-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WILLIAMS ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304446",
            "telephone_number": "620-793-4140",
            "fax_number": "620-793-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GREAT BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "NAPOLITANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF/EMS DIRECTOR",
        "authorized_official_telephone_number": "620-793-4140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242840A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETT",
            "identifier": "590496009",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Land Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.