City of Independence

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

850 Issued in KS

Legal business name

CITY OF INDEPENDENCE

Practice address

120 N 6TH St
Independence, KS 67301-3759

Phone

(620) 332-2528

Fax

(620) 331-1628

NPI assigned

Jun 15, 2005

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David James Cowan, MICT-LPN

Title

Director of Public Safety

Phone

(620) 332-2528

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1326043613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 6TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013759",
            "telephone_number": "620-332-2528",
            "fax_number": "620-331-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 6TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013759",
            "telephone_number": "620-332-2528",
            "fax_number": "620-331-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC SAFETY",
        "authorized_official_telephone_number": "620-332-2528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MICT-LPN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I00091830A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Howard Carnes
• Jamie Carreon, PHARMD
• Carrie's Helping Hands
• Steven Wesley Chapman, D.C.
• Janice Chenoweth
• Ian Cizerle-Brown
• Megan Cizerle-Brown
• Thomas W. Cloven, PA-C
• Jeannine M Cobb, MD
• Coffeyville Regional Medical Center, Inc. (CRMC Medical Group - Independence)

• Land Ambulance in Independence, KS
• Providers in Independence, KS by specialty
• Land Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.

Verify at the official NPI Registry.