Haven Community EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

780 Issued in KS

Legal business name

HAVEN COMMUNITY EMS

Practice address

120 S Kansas St
Haven, KS 67543-9278

Phone

(620) 465-2364

Fax

(620) 465-2364

NPI assigned

Feb 22, 2006

Last updated

Jan 26, 2021By 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

Tony Troyer

Title

EMS Director

Phone

(620) 728-4563

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HAVEN COMMUNITY AMBULANCE SERVICE Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1114992096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746530468",
            "telephone_number": "620-465-3618",
            "fax_number": "580-628-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S KANSAS ST",
            "city": "HAVEN",
            "state": "KS",
            "postal_code": "675439278",
            "telephone_number": "620-465-2364",
            "fax_number": "620-465-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN COMMUNITY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "620-728-4563"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091720A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613870A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "120 S Kansas St",
            "city": "Haven",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675439278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HAVEN COMMUNITY AMBULANCE SERVICE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelli Barron, OT
• Haven Public Schools Usd 312
• Jeffrey Steven Howell, DC
• Kra LLC (Haven House)
• Jack W Kranz, RN
• Valerie Smith, LPN/OPERATOR

• Ambulance in Haven, KS
• Providers in Haven, KS by specialty
• Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.