Organization Active NPI

County of Decatur

  • Ambulance
  • Oberlin, KS
National Provider Identifier
1790748275
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
470 Issued in KS
Legal business name
COUNTY OF DECATUR
Practice address
120 E Hall St
Oberlin, KS 67749-2327
Phone
(785) 475-8126
Fax
(785) 475-8130
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Ms. Karen G Eskew
Title
Emt Billing Secretary
Phone
(785) 475-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 470 KS Primary

Addresses

Primary practice location

120 E Hall St
Oberlin, KS 67749-2327

Mailing address

120 E Hall St
Oberlin, KS 67749-2327
Phone (785) 475-8126

Other identifiers 1

IdentifierTypeStateIssuer
005641OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • Decatur County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000486 KS Part B Supplier - Ambulance Service Supplier 8224085980 Practice locations: Jennings, KS; Oberlin, KS

National Provider Directory

National Provider Directory
Tax ID family
County of Decatur2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

120 E Hall St
Oberlin, KS 67749
Phone (785) 475-8126

Other NPIs with the same Medicare PAC ID 1

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

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
17D2132462Decatur Co Ambulance Service120 East Hall, Oberlin, KS 67749Certificate of waiverJun 19, 2027

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1790748275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E HALL ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492327",
            "telephone_number": "785-475-8126",
            "fax_number": "785-475-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HALL ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492327",
            "telephone_number": "785-475-8126",
            "fax_number": "785-475-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DECATUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ESKEW",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EMT BILLING SECRETARY",
        "authorized_official_telephone_number": "785-475-8126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005641",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oberlin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.