Active NPI
Town and Country Ambulance LLC
- Land Ambulance
- Hiawatha, KS
National Provider Identifier
1285718254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN AND COUNTRY AMBULANCE LLC
- Practice address
- 110 N 2ND St
Hiawatha, KS 66434-2246 - Phone
- (785) 742-3992
- Fax
- (785) 742-7268
- NPI assigned
- Oct 25, 2006
- 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
- Karla J Goff
- Title
- Billing Clerk
- Phone
- (402) 614-7855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
110 N 2ND St
Hiawatha, KS 66434-2246
Mailing address
PO Box 456
Hiawatha, KS 66434-0456
Phone (402) 614-7855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005632 | Other | BC/BS OF KANSAS | |
| 100374320A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
824 Oregon St
Hiawatha, KS 66434
Phone (785) 742-3992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1285718254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664340456",
"telephone_number": "402-614-7855",
"fax_number": "402-502-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342246",
"telephone_number": "785-742-3992",
"fax_number": "785-742-7268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN AND COUNTRY AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "GOFF",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "402-614-7855"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF KANSAS",
"identifier": "005632",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100374320A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.