Active NPI
County of Stanton
- Ambulance
- Johnson, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1860
- Legal business name
- COUNTY OF STANTON
- Practice address
- 101 S Frontage Road
Johnson, KS 67855-0572 - Phone
- (620) 492-6879
- Fax
- (620) 492-1445
- NPI assigned
- Apr 27, 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
- Roger L Richardson
- Title
- Director
- Phone
- (620) 492-6879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1860 | KS | Primary |
Addresses
Primary practice location
101 S Frontage Road
Johnson, KS 67855-0572
Mailing address
Box 572
101 S. Frontage Road
Johnson, KS 67855-0572
Phone (620) 492-6879
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097820BKS | Medicaid | KS | |
| 112009 | Other | KS | BLUE CROSS |
| 100097820B | Medicaid | KS |
Other names 1
- Stanton County Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120228000414 | KS | Part B Supplier - Ambulance Service Supplier | 3577699602 | Practice locations: Johnson, 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0980592 | Stanton County EMS | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Stanton County Family P
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Johnson City, KS
- NPI 1225167414
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Stanton County Family Practice | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Johnson, KS
- NPI 1679880363
5% Or Greater Direct Ownership Interest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1295792869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 572",
"address_2": "101 S. FRONTAGE ROAD",
"city": "JOHNSON",
"state": "KS",
"postal_code": "678550572",
"telephone_number": "620-492-6879",
"fax_number": "620-492-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FRONTAGE ROAD",
"city": "JOHNSON",
"state": "KS",
"postal_code": "678550572",
"telephone_number": "620-492-6879",
"fax_number": "620-492-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF STANTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "620-492-6879"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "KS",
"license": "1860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097820BKS",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "112009",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097820B",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stanton County Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Stanton County Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.