Organization Active NPI

City of Wellington

  • Basic Emergency Medical Technician
  • Wellington, KS
National Provider Identifier
1629071816
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
2070 Issued in KS
Legal business name
CITY OF WELLINGTON
Practice address
200 North C Street
Suite 200
Wellington, KS 67152
Phone
(620) 326-7443
Fax
(620) 326-8475
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mr. Tim Hay
Title
Fire Chief
Phone
(620) 326-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146N00000X 2070 KS Primary

Addresses

Primary practice location

200 North C Street
Suite 200
Wellington, KS 67152

Mailing address

317 South Washington
Wellington, KS 67152
Phone (620) 326-2811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000705 KS Part B Supplier - Ambulance Service Supplier 5799866307 Practice locations: Wellington, KS

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

317 S Washington Ave
Wellington, KS 67152
Phone (620) 326-7443

200 N C St
#200
Wellington, KS 67152
Phone (620) 326-7443

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1629071816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SOUTH WASHINGTON",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "67152",
            "telephone_number": "620-326-2811",
            "fax_number": "620-326-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH C STREET",
            "address_2": "SUITE 200",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "67152",
            "telephone_number": "620-326-7443",
            "fax_number": "620-326-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WELLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "620-326-7443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "KS",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.