Organization Active NPI

County of Ellis

Doing business as Ellis County EMS

  • Land Ambulance
  • Hays, KS
National Provider Identifier
1265400022
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF ELLIS
Doing business as
Ellis County EMS
Practice address
1009 Cody Avenue
Hays, KS 67601
Phone
(785) 628-9461
Fax
(785) 628-9464
NPI assigned
Mar 9, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kerry G McCue
Title
Director
Phone
(785) 628-9461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1009 Cody Avenue
Hays, KS 67601

Mailing address

1009 Cody Avenue
Hays, KS 67601
Phone (785) 628-9461

Other identifiers 4

IdentifierTypeStateIssuer
663510OtherKSFIRSTGUARD
100113480BMedicaidKS
119990OtherKSBLUE CROSS BLUE SHIELD
590009831OtherKSRAILROAD MEDICARE

Other names 1

  • Ellis County EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000546 KS Part B Supplier - Ambulance Service Supplier 4385691021 Practice locations: Hays, KS

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
County of Ellis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1105 E 22nd St
Hays, KS 67601
Phone (785) 628-9461

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1265400022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CODY AVENUE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-9461",
            "fax_number": "785-628-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CODY AVENUE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-9461",
            "fax_number": "785-628-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ELLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "MCCUE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-628-9461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "663510",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113480B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "119990",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009831",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.