Active NPI
City of Mulvane
- Ambulance
- Mulvane, KS
National Provider Identifier
1386642601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1370
- Legal business name
- CITY OF MULVANE
- Practice address
- 910 E Main St
Mulvane, KS 67110-1776 - Phone
- (316) 777-1551
- Fax
- (316) 777-9520
- NPI assigned
- Jul 11, 2005
- Last updated
- Aug 22, 2020
- 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
- Dave Williams
- Title
- Director
- Phone
- (316) 777-1551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1370 | KS | Primary |
Addresses
Primary practice location
910 E Main St
Mulvane, KS 67110-1776
Mailing address
910 E Main St
Mulvane, KS 67110-1776
Phone (316) 777-1551
Other names 1
- Mulvane Emergency Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000820 | KS | Part B Supplier - Ambulance Service Supplier | 0941469274 | Practice locations: Mulvane, KS |
National Provider Directory
National Provider DirectoryLocations
910 E Main St
Mulvane, KS 67110
Phone (316) 777-1551
910 E Main St
#1
Mulvane, KS 67110
Phone (316) 777-1551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386642601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E MAIN ST",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101776",
"telephone_number": "316-777-1551",
"fax_number": "316-777-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E MAIN ST",
"city": "MULVANE",
"state": "KS",
"postal_code": "671101776",
"telephone_number": "316-777-1551",
"fax_number": "316-777-9520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MULVANE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "316-777-1551"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "KS",
"license": "1370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mulvane Emergency Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mulvane, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.