Active NPI
Medevac Midamerica Inc
- Ambulance
- Topeka, KS
National Provider Identifier
1104830850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MEDEVAC MIDAMERICA INC
- Doing business as
- AMR
American Medical Response
EagleMed - Practice address
- 401 SW Jackson St
Topeka, KS 66603-3327 - Phone
- (785) 233-2400
- Fax
- (785) 232-8755
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
401 SW Jackson St
Topeka, KS 66603-3327
Mailing address
PO Box 847199
Dallas, TX 75284-7199
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003968330003 | Medicaid | KS |
Other names 3
- AMR
- American Medical Response
- EagleMed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000887 | KS | Part B Supplier - Ambulance Service Supplier | 4284529827 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winfield, KS; Wichita, KS; Kansas City, KS; Wakeeney, KS; Topeka, KS; Pleasanton, KS; Osborne, KS; Lindsborg, KS… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0706191 | American Medical Response | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- American Medical Response
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Kansas City, KS
- NPI 1306871215
-
- Ambulance
- Pleasanton, KS
- NPI 1578762308
Locations
401 SW Jackson St
Topeka, KS 66603
Phone (785) 233-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1104830850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847199",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847199",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SW JACKSON ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666033327",
"telephone_number": "785-233-2400",
"fax_number": "785-232-8755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEVAC MIDAMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "TIERNEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003968330003",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AMR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Medical Response",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Medical Response",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EagleMed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.