NPIMap

Organization Active NPI

Kansas Ambulance Co

  • Land Ambulance
  • Kansas, IL
National Provider Identifier
1508048067
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1746453 Issued in IL
Legal business name
KANSAS AMBULANCE CO
Practice address
202 N Front Street
Kansas, IL 61933
Phone
(309) 682-5280
Fax
(309) 682-5327
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Marilyn Jane Baker
Title
Billing Agent
Phone
(309) 682-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1746453 IL Primary

Addresses

Primary practice location

202 N Front Street
Kansas, IL 61933

Mailing address

202 N Front Street
Kansas, IL 61933
Phone (309) 682-5280

Other identifiers 1

IdentifierTypeStateIssuer
0002332003OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

202 N Front St
Kansas, IL 61933

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508048067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N FRONT STREET",
            "city": "KANSAS",
            "state": "IL",
            "postal_code": "61933",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N FRONT STREET",
            "city": "KANSAS",
            "state": "IL",
            "postal_code": "61933",
            "telephone_number": "309-682-5280",
            "fax_number": "309-682-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS AMBULANCE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "309-682-5280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "1746453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002332003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.