Organization Active NPI

County of Thomas

  • Land Ambulance
  • Colby, KS
National Provider Identifier
1699760686
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1950 Issued in KS
Legal business name
COUNTY OF THOMAS
Practice address
1275 S Franklin Ave
Colby, KS 67701-3718
Phone
(785) 460-4585
Fax
(785) 460-4586
NPI assigned
Sep 15, 2005
Organization subpart
Yes
Parent organization
COUNTY OF THOMASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Norman Joseph Hickert II, RN, NREMT-P
Title
Director
Phone
(785) 460-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1950 KS Primary

Addresses

Primary practice location

1275 S Franklin Ave
Colby, KS 67701-3718

Mailing address

1275 S Franklin Ave
Colby, KS 67701-3718
Phone (785) 460-4585

Other identifiers 2

IdentifierTypeStateIssuer
100097850BMedicaidKS
112008OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • Thomas 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
O20040615000791 KS Part B Supplier - Ambulance Service Supplier 2769466051 Practice locations: Brewster, KS; Colby, KS; Rexford, KS

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Thomas County EMS2 organizations share this tax ID, including this one
Part of
Thomas County EMS

Other organizations with this tax ID 1

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

Locations

1235 S Country Club Dr
Colby, KS 67701
Phone (785) 460-4585

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1699760686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013718",
            "telephone_number": "785-460-4585",
            "fax_number": "785-460-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013718",
            "telephone_number": "785-460-4585",
            "fax_number": "785-460-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF THOMAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF THOMAS",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "HICKERT",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-460-4585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RN, NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097850B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "112008",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.