Organization Active NPI

County of Wallace

Doing business as Wallace County Ambulance

  • Land Ambulance
  • Sharon Springs, KS
National Provider Identifier
1396711362
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2030 Issued in KS
Legal business name
COUNTY OF WALLACE
Doing business as
Wallace County Ambulance
Practice address
510 E Sixth
Sharon Springs, KS 67758
Phone
(785) 852-4282
NPI assigned
Feb 28, 2006
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Nancy Schmidt
Title
Director
Phone
(785) 852-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2030 KS Primary

Addresses

Primary practice location

510 E Sixth
Sharon Springs, KS 67758

Mailing address

PO Box 624
Sharon Springs, KS 67758-0624
Phone (785) 852-4282

Other names 1

  • Wallace County Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050504000568 KS Part B Supplier - Ambulance Service Supplier 5890742555 Practice locations: Sharon Springs, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wallace County Health Dep2 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.

Locations

510 E 6th
Sharon Springs, KS 67758
Phone (785) 852-4282

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1396711362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "SHARON SPRINGS",
            "state": "KS",
            "postal_code": "677580624",
            "telephone_number": "785-852-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E SIXTH",
            "city": "SHARON SPRINGS",
            "state": "KS",
            "postal_code": "67758",
            "telephone_number": "785-852-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-852-4282"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.