City of Cherryvale

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

310 Issued in KS

Legal business name

CITY OF CHERRYVALE

Practice address

116 S Neosho St
Cherryvale, KS 67335-2018

Phone

(800) 538-8278

Fax

(580) 628-2273

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2008By 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

Ron Davis

Title

Ambulance Director

Phone

(620) 336-2121

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cherryvale Emergency Service Other name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Eli Reed, RN

  • Pediatric Registered Nurse
  • Wichita, KS
  • NPI 1184594921
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1720187461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W MAIN ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351321",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S NEOSHO ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673352018",
            "telephone_number": "800-538-8278",
            "fax_number": "580-628-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHERRYVALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "620-336-2121"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091850A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0000005661",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherryvale Emergency Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trevor Austin, PTA
• Cherryvale Care Center
• Cherryvale Management, LLC (Cherryvale Nursing & Rehabilitation Center)
• Angela Dick
• Belle Dickens, CPTA
• Christopher Ray Douthit, M.A., ATC, LAT
• DRS Eastep and Brown
• Phillip Ben Eastep, DMD

• Land Ambulance in Cherryvale, KS
• Providers in Cherryvale, 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 8, 2008; 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.