City of Waterville

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2060 Issued in KS

Legal business name

CITY OF WATERVILLE

Practice address

136 E. Commercial
Waterville, KS 66548

Phone

(785) 363-2367

Fax

(785) 363-2524

NPI assigned

Sep 8, 2006

Organization subpart

No

Name

Mr. Ken J. Wanamaker, ADVANCED EMERGENCY M

Title

Ambulance Director

Phone

(785) 363-2367

Medicare fee-for-service enrollment

Enrolled in KS

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2013.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1487758702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 387",
            "address_2": "136 E. COMMERCIAL",
            "city": "WATERVILLE",
            "state": "KS",
            "postal_code": "66548",
            "telephone_number": "785-363-2367",
            "fax_number": "785-363-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E. COMMERCIAL",
            "city": "WATERVILLE",
            "state": "KS",
            "postal_code": "66548",
            "telephone_number": "785-363-2367",
            "fax_number": "785-363-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "785-363-2367",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADVANCED EMERGENCY M"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waterville, KS
• Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.