Active NPI
County of Clark
- Land Ambulance
- Ashland, KS
National Provider Identifier
1285734236
On this page
- Key facts
- Authorized official
- Other NPIs with the same Medicare PAC ID1
- Corporate family (same tax ID)1
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Ashland, KS
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 340
- Legal business name
- COUNTY OF CLARK
- Practice address
- 913 Highland Street
Ashland, KS 67831-0886 - Phone
- (620) 635-2832
- Fax
- (620) 635-2992
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Ramona J Myers
- Title
- Office Manager
- Phone
- (620) 635-2832
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Ashland, KS
- NPI 1053336040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050714000664 | KS | Part B Supplier - Ambulance Service Supplier | 1759317324 | Practice locations: Ashland, KS |
National Provider Directory
National Provider Directory- Tax ID family
- Clark County Health Dept
Locations
913 Highland
Ashland, KS 67831
Phone (620) 635-2624
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 340 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
913 Highland Street
Ashland, KS 67831-0886
Mailing address
PO Box 886
913 Highland
Ashland, KS 67831-0886
Phone (620) 635-2832
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100243860A | Medicaid | KS |
Other names 1
NPPES NPI Registry- Clark County Ambulance
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2008.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1285734236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 886",
"address_2": "913 HIGHLAND",
"city": "ASHLAND",
"state": "KS",
"postal_code": "678310886",
"telephone_number": "620-635-2832",
"fax_number": "620-635-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 HIGHLAND STREET",
"city": "ASHLAND",
"state": "KS",
"postal_code": "678310886",
"telephone_number": "620-635-2832",
"fax_number": "620-635-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CLARK",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "RAMONA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "620-635-2832",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KS",
"license": "340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100243860A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clark County Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashland, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.