County of Pottawatomie
Organization Active NPI Land Ambulance · Wamego, KS
NPI 1508395351 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1508395351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 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
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF POTTAWATOMIE
Authorized official
- Name
- Mr. Hal Bumgarner
- Title
- EMS Director
- Phone
- (785) 456-9700
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 1
-
Nicholas W Cahoj, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0879625 | Pottawatomie County EMS | Certificate of waiver | Oct 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171003006303 | KS | Part B Supplier - Ambulance Service Supplier | 1052368230 | Practice locations: Wamego, KS |
National Provider Directory
- Tax ID family
- County of Pottawatomie
- Part of
- County of Pottawatomie
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
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
- County of Pottawatomie EMS
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.