Organization Active NPI

County of Gray

  • Ambulance
  • Cimarron, KS
National Provider Identifier
1548411069
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0690 Issued in KS
Legal business name
COUNTY OF GRAY
Practice address
101 W. Ave D.
Cimarron, KS 67835-0568
Phone
(620) 855-7731
Fax
(620) 855-7704
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
James P. Kramer
Title
EMS Director
Phone
(620) 855-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0690 KS Primary

Addresses

Primary practice location

101 W. Ave D.
Cimarron, KS 67835-0568

Mailing address

P.O. Box 568
101 W. Ave D.
Cimarron, KS 67835-0568
Phone (620) 855-7731

Other names 1

  • Gray County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000542 KS Part B Supplier - Ambulance Service Supplier 4284685736 Practice locations: Cimarron, 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
17D2090775Gray County EMS101 W Ave D, Cimarron, KS 67835Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gray County Health Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1548411069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 568",
            "address_2": "101 W. AVE D.",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350568",
            "telephone_number": "620-855-7731",
            "fax_number": "620-855-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. AVE D.",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350568",
            "telephone_number": "620-855-7731",
            "fax_number": "620-855-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "620-855-3916"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "0690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.