Active NPI
County of Ellis
Doing business as Ellis County EMS
- Land Ambulance
- Hays, KS
National Provider Identifier
1265400022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 663510 | Other | KS | FIRSTGUARD |
| 100113480B | Medicaid | KS | |
| 119990 | Other | KS | BLUE CROSS BLUE SHIELD |
| 590009831 | Other | KS | RAILROAD MEDICARE |
Other names 1
- Ellis County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Ellis County Health Department
- Public Health or Welfare Agency
- Hays, KS
- NPI 1376545384
4385691021
National Provider Directory
National Provider Directory- Tax ID family
- County of Ellis
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ellis County Health Department
- Public Health or Welfare Agency
- Hays, KS
- NPI 1376545384
-
- Community Health Clinic/Center
- Hays, KS
- NPI 1770057911
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.