West Central Kansas Association, Inc. – Ambulance

Key facts

NPI: 1104880947
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
License: H084001 (KS)
Legal business name: WEST CENTRAL KANSAS ASSOCIATION, INC.
Practice address: 200 S Main St
Russell, KS 67665-2920
Phone: (785) 483-3131
Fax: (785) 483-4859
NPI assigned: Apr 17, 2006
Organization subpart: No

Authorized official

Name: David Caudill
Title: Ceo
Phone: (785) 483-3131

Corporate family (same tax ID) 2

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

West Central Kansas Association, Inc. Dentist · Russell, KS · NPI 1386490738

NPD tax ID
West Central Kansas Association, Inc. Emergency Care Clinic/Center · Russell, KS · NPI 1720042567

NPD tax ID

National Provider Directory

Tax ID family: RRH Physicians Clinic (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X	H084001	KS	Yes

Addresses

Primary practice location

200 S Main St
Russell, KS 67665-2920

Mailing address

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-3131

Other identifiers

Identifier	Type	State	Issuer
100306710F	Medicaid	KS
100104400B	Medicaid	KS
112005	Other	KS	BLUE SHIELD

Other names

Russell Regional Hospital Ambulance Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2022.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1104880947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL KANSAS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-483-3131"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "H084001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100306710F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100104400B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "112005",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Regional Hospital Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Russell Regional Hospital Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

All providers in Russell, KS · 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 16, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.