County of Ellsworth

Primary specialty

ParamedicTaxonomy code 146L00000X

License

570 Issued in KS

Legal business name

COUNTY OF ELLSWORTH

Practice address

1107 Evans St
Ellsworth, KS 67439-2553

Phone

(785) 472-3454

Fax

(785) 472-3644

NPI assigned

Jun 14, 2006

Organization subpart

Yes

Parent organization

ELLSWORTH COUNTY EMSAs reported in NPPES

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

Authorized official

Name

Mr. Roderic J Rees, PARAMEDIC

Title

Director

Phone

(785) 472-3454

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Ellsworth

  • State or Local Public Health Clinic/Center
  • Ellsworth, KS
  • NPI 1558364752

  8820263767

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Ellsworth2 organizations share this tax ID, including this one

Part of

County of Ellsworth

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Ellsworth

  • State or Local Public Health Clinic/Center
  • Ellsworth, KS
  • NPI 1558364752
  NPD tax ID

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1407899685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 EVANS ST",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392553",
            "telephone_number": "785-472-3454",
            "fax_number": "785-472-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EVANS ST",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674392553",
            "telephone_number": "785-472-3454",
            "fax_number": "785-472-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ELLSWORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLSWORTH COUNTY EMS",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-472-3454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "KS",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092210C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastin Casey
• Cental Kansas Dentistry, PA
• Teasha Lee Choitz, C.O.T.A.
• Cornerstone Therapy
• Counseling Inc
• County of Ellsworth
• Mychel Toni Dolezal, R.D.H.
• Ellsworth County Medical Center
• Ellsworth County Medical Center
• Ellsworth County Medical Center

• All providers in Ellsworth, KS
• Paramedic in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.