Organization Active NPI

Greeley County Ambulance

  • Land Ambulance
  • Tribune, KS
National Provider Identifier
1477640274
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
00710 Issued in KS
Legal business name
GREELEY COUNTY AMBULANCE
Practice address
219 West Greeley Avenue
Tribune, KS 67879
Phone
(620) 376-8675
Fax
(620) 376-2465
NPI assigned
Oct 5, 2006
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mrs. Christina Rose Baber, EMT-I
Title
Director
Phone
(620) 376-4967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 00710 KS Primary

Addresses

Primary practice location

219 West Greeley Avenue
Tribune, KS 67879

Mailing address

616 Second Street
PO Box 277
Tribune, KS 67879
Phone (620) 376-4256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000514 KS Part B Supplier - Ambulance Service Supplier 4082769187 Practice locations: Tribune, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2128706Greeley County Ambulance219 West Greeley, Tribune, KS 67879Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Greeley County Ambulance2 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

219 W Greeley Ave
Tribune, KS 67879
Phone (620) 376-4035

616 2nd St
Tribune, KS 67879
Phone (620) 376-4256

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1477640274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SECOND STREET",
            "address_2": "PO BOX 277",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-376-4256",
            "fax_number": "620-376-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WEST GREELEY AVENUE",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-376-8675",
            "fax_number": "620-376-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "BABER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-376-4967",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "00710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tribune, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.