County of Sedgwick

Organization Active NPI Land Ambulance · Wichita, KS

NPI 1215075411 · NPPES record last updated Dec 5, 2012

Key facts

NPI
1215075411
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
1750 (KS)
Legal business name
COUNTY OF SEDGWICK
Practice address
1015 W Stillwell St
Wichita, KS 67213-4450
Phone
(316) 660-7994
Fax
(316) 383-7338
NPI assigned
Feb 1, 2007
Organization subpart
No

Authorized official

Name
Mr. Scott R Hadley, EMT-P, BSN, RN
Title
EMS Director
Phone
(316) 660-7994

Other NPIs with the same Medicare PAC ID 3

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

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070606000735 KS Part B Supplier - Ambulance Service Supplier 2961304779 Practice locations: Wichita, KS

National Provider Directory

Locations

1015 W Stillwell St
Wichita, KS 67213
Phone (316) 383-7997

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1750 KS Yes

Addresses

Primary practice location

1015 W Stillwell St
Wichita, KS 67213-4450

Mailing address

1015 W Stillwell St
Wichita, KS 67213-4450
Phone (316) 660-7994

Other identifiers

IdentifierTypeStateIssuer
100080500FMedicaidKS
005650OtherKSBLUE CROSS BLUE SHIELD
826590746OtherKSRAILROAD MEDICARE

Other names

  • SEDGWICK COUNTY EMERGENCY MEDICAL SERVICE Doing business as

Other providers in Wichita, KS

All providers in Wichita, KS · Land Ambulance in Kansas

Sources for this page

Verify at the official NPI Registry.