County of Clay

Primary specialty

AmbulanceTaxonomy code 341600000X

License

350 Issued in KS

Legal business name

COUNTY OF CLAY

Practice address

603 4TH St
Clay Center, KS 67432

Phone

(785) 632-2166

Fax

(785) 632-6050

NPI assigned

Nov 20, 2006

Last updated

Mar 8, 2012By 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

Ms. Patsy Jo Charest, EMTI

Title

Assistant Director

Phone

(785) 632-2166

Specialties & licenses 1

Addresses

Other names 1

• Clay County Ambulance Service Other name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Clay

  dba Clay County Health Department

  • Community Health Clinic/Center
  • Clay Center, KS
  • NPI 1164429148

  4587576533

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Clay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Clay

  dba Clay County Health Department

  • Community Health Clinic/Center
  • Clay Center, KS
  • NPI 1164429148
  NPD tax ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1124192901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 4TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "67432",
            "telephone_number": "785-632-2166",
            "fax_number": "785-632-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 4TH ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "67432",
            "telephone_number": "785-632-2166",
            "fax_number": "785-632-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "785-632-2166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMTI"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clay County Medical Center
• Clay County Medical Center (Clay Center Family Physicians)
• Clay County Medical Center
• Kyle Converse, D.C.
• Tammera Converse, DC
• County of Clay (Clay County Health Department)
• Mary Kay Cummins, ARNP
• Tricia Aubrey Cunningham
• Emily Elizabeth Ebert, FNP-C
• Erickson Medical Clinic, LLC

• Ambulance in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.

Verify at the official NPI Registry.