Organization Active NPI

County of Jewell

Doing business as Jewell County EMS

  • Land Ambulance
  • Mankato, KS
National Provider Identifier
1275519613
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
820 Issued in KS
Legal business name
COUNTY OF JEWELL
Doing business as
Jewell County EMS
Practice address
510 E North St
Mankato, KS 66956-1850
Phone
(785) 378-3069
Fax
(785) 378-3979
NPI assigned
Dec 19, 2005
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Vincent Ray Urbaniak
Title
EMS Director
Phone
(785) 378-3069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 820 KS Primary
Land Ambulance 3416L0300X 94-004-5 NE

Addresses

Primary practice location

510 E North St
Mankato, KS 66956-1850

Mailing address

510 E North St
Mankato, KS 66956-1850
Phone (785) 378-3069

Other identifiers 1

IdentifierTypeStateIssuer
30003941060001MedicaidKS

Other names 1

  • Jewell 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
O20050815000975 KS Part B Supplier - Ambulance Service Supplier 8820909187 Practice locations: Mankato, KS

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0932396Jewell County EMS510 E North St, Mankato, KS 66956Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Jewell2 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.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

501 Grand Ave
Esbon, KS 66941
Phone (785) 725-3663

510 E North St
Mankato, KS 66956
Phone (785) 378-3069

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jewell County HospitalMankato, KS, CCN 171309 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1967
Jewell County HospitalMankato, KS, CCN 17Z309 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1996
Jewell County Rural Health ClinicMankato, KS, CCN 173479 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1967

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1275519613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E NORTH ST",
            "city": "MANKATO",
            "state": "KS",
            "postal_code": "669561850",
            "telephone_number": "785-378-3069",
            "fax_number": "785-378-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E NORTH ST",
            "city": "MANKATO",
            "state": "KS",
            "postal_code": "669561850",
            "telephone_number": "785-378-3069",
            "fax_number": "785-378-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "URBANIAK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "785-378-3069"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "820",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "94-004-5",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003941060001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewell County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mankato, KS

Sources for this page

Verify at the official NPI Registry.