Organization Active NPI

Jefferson County Fire Dist # 11

  • Ambulance
  • Valley Falls, KS
National Provider Identifier
1710098934
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
605 Issued in KS
Legal business name
JEFFERSON COUNTY FIRE DIST # 11
Practice address
204 Louisa St
Valley Falls, KS 66088-1331
Phone
(785) 945-3731
Fax
(785) 945-3456
NPI assigned
Aug 31, 2006
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mr. John Eldon Gordon, EMT-I
Title
Service Director
Phone
(785) 945-3731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 605 KS Primary

Addresses

Primary practice location

204 Louisa St
Valley Falls, KS 66088-1331

Mailing address

PO Box 66
Valley Falls, KS 66088-0066
Phone (785) 945-3731

Other identifiers 4

IdentifierTypeStateIssuer
112032OtherKSBLUE CROSS BLUE SHIELD
P00041600000XOtherRAILROAD MEDICARE
200002750AMedicaidKS
P00041979OtherKSRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

204 Louisa St
Valley Falls, KS 66088
Phone (785) 945-3731

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1710098934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660880066",
            "telephone_number": "785-945-3731",
            "fax_number": "785-945-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOUISA ST",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "660881331",
            "telephone_number": "785-945-3731",
            "fax_number": "785-945-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY FIRE DIST # 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "785-945-3731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "112032",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00041600000X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002750A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00041979",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Falls, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.