City of Neodesha

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1390 Issued in KS

Legal business name

CITY OF NEODESHA

Doing business as

Neodesha Fire Department

Practice address

112 S. 4TH Street
Neodesha, KS 66757-1756

Phone

(620) 325-2642

Fax

(620) 325-5018

NPI assigned

Sep 27, 2006

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harry Ross Jamison III, MICT

Title

Fire Captain/Paramedic

Phone

(620) 325-2642

Specialties & licenses 1

Addresses

Other names 1

• Neodesha Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1639260524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S. 4TH STREET",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571756",
            "telephone_number": "620-325-2642",
            "fax_number": "620-325-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S. 4TH STREET",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571756",
            "telephone_number": "620-325-2642",
            "fax_number": "620-325-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEODESHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "FIRE CAPTAIN/PARAMEDIC",
        "authorized_official_telephone_number": "620-325-2642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MICT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neodesha Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Renae Cunningham, DO
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• Land Ambulance in Neodesha, KS
• Providers in Neodesha, KS by specialty
• Land Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.