Organization Active NPI

County of Pottawatomie

  • Land Ambulance
  • Wamego, KS
National Provider Identifier
1508395351
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF POTTAWATOMIE
Practice address
406 Miller Dr # F
Wamego, KS 66547-1209
Phone
(785) 456-9700
NPI assigned
Jun 6, 2017
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF POTTAWATOMIEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Mr. Hal Bumgarner
Title
EMS Director
Phone
(785) 456-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

406 Miller Dr # F
Wamego, KS 66547-1209

Mailing address

PO Box 310
Westmoreland, KS 66549-0310
Phone (785) 457-3719

Other names 1

  • County of Pottawatomie EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171003006303 KS Part B Supplier - Ambulance Service Supplier 1052368230 Practice locations: Wamego, KS

Other NPIs with the same Medicare PAC ID 1

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

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
17D0879625Pottawatomie County EMS406 Miller Drive, Suite F, Wamego, KS 66547Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Pottawatomie2 organizations share this tax ID, including this one
Part of
County of Pottawatomie

Other organizations with this tax ID 1

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

Locations

320 Main St
Westmoreland, KS 66549
Phone (785) 457-3719

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1508395351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "WESTMORELAND",
            "state": "KS",
            "postal_code": "665490310",
            "telephone_number": "785-457-3719",
            "fax_number": "785-457-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MILLER DR # F",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471209",
            "telephone_number": "785-456-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF POTTAWATOMIE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF POTTAWATOMIE",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BUMGARNER",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "785-456-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Pottawatomie EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "County of Pottawatomie EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wamego, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.