County of Pratt
Organization Active NPI Land Ambulance · Pratt, KS
NPI 1114993797 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1114993797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1570 (KS)
- Legal business name
- COUNTY OF PRATT
- Practice address
- 1001 E 1St St
Pratt, KS 67124-2055 - Phone
- (620) 672-3863
- Fax
- (620) 672-6960
- NPI assigned
- Feb 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Kirk C. Branaman
- Title
- Asst. Director Pratt Co. EMS
- Phone
- (620) 672-3863
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100213000039 | KS | Part B Supplier - Ambulance Service Supplier | 1456308139 | Practice locations: Pratt, KS |
National Provider Directory
- Tax ID family
- County of Pratt
Locations
103 NE 20th Ave
Pratt, KS 67124
Phone (316) 672-4130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1570 | KS | Yes |
Addresses
Primary practice location
1001 E 1St St
Pratt, KS 67124-2055
Mailing address
1001 E 1St St
Pratt, KS 67124-2055
Phone (620) 672-3863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100092100C | Medicaid | KS |
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2010. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.