Organization Active NPI

County of Graham

Doing business as Graham County EMS

  • Ambulance
  • Hill City, KS
National Provider Identifier
1295720290
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
670 Issued in KS
Legal business name
COUNTY OF GRAHAM
Doing business as
Graham County EMS
Practice address
722 W Main St
Hill City, KS 67642-1936
Phone
(785) 421-3455
Fax
(785) 421-3473
NPI assigned
Sep 15, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Michelle Helberg
Title
EMS Fire Director
Phone
(785) 421-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 670 KS Primary

Addresses

Primary practice location

722 W Main St
Hill City, KS 67642-1936

Mailing address

722 W Main St
Hill City, KS 67642-1936
Phone (785) 421-3455

Other identifiers 2

IdentifierTypeStateIssuer
0005554OtherKSBLUR CROSS AND BLUE SHIEL
100115380BMedicaidKS

Other names 1

  • Graham 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
O20080911000380 KS Part B Supplier - Ambulance Service Supplier 4981651650 Practice locations: Bogue, KS; Hill City, KS; Morland, 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
17D2097679Graham County Emergency Services722 West Main, Hill City, KS 67642Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Graham2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1295720290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W MAIN ST",
            "city": "HILL CITY",
            "state": "KS",
            "postal_code": "676421936",
            "telephone_number": "785-421-3455",
            "fax_number": "785-421-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAIN ST",
            "city": "HILL CITY",
            "state": "KS",
            "postal_code": "676421936",
            "telephone_number": "785-421-3455",
            "fax_number": "785-421-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRAHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "HELBERG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EMS FIRE DIRECTOR",
        "authorized_official_telephone_number": "785-421-3455"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUR CROSS AND BLUE SHIEL",
            "identifier": "0005554",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115380B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hill City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.