Organization Active NPI

Quinter Ambulance Service Inc

  • Ambulance
  • Quinter, KS
National Provider Identifier
1720058324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1590 Issued in KS
Legal business name
QUINTER AMBULANCE SERVICE INC
Practice address
412 Main St
Quinter, KS 67752-0310
Phone
(785) 754-2288
Fax
(785) 754-3447
NPI assigned
Jan 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Lee Burgess, EMT
Title
EMS Director
Phone
(785) 754-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1590 KS Primary

Addresses

Primary practice location

412 Main St
Quinter, KS 67752-0310

Mailing address

PO Box 310
412 Main St
Quinter, KS 67752-0310
Phone (785) 754-2288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000399 KS Part B Supplier - Ambulance Service Supplier 2466622618 Practice locations: Quinter, KS

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
17D2128807Quinter Ambulance Service412 Main, Quinter, KS 67752Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720058324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "address_2": "412 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677520310",
            "telephone_number": "785-754-2288",
            "fax_number": "785-754-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677520310",
            "telephone_number": "785-754-2288",
            "fax_number": "785-754-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "785-754-2288",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quinter, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.