Organization Active NPI

Town and Country Ambulance LLC

  • Land Ambulance
  • Hiawatha, KS
National Provider Identifier
1285718254
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005632OtherBC/BS OF KANSAS
100374320AMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.