Active NPI
County of Decatur
- Ambulance
- Oberlin, KS
National Provider Identifier
1790748275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 470
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005641 | Other | KS | BLUE CROSS BLUE SHIELD |
Other names 1
- Decatur County Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Decatur
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Oberlin, KS
- NPI 1033105358
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2132462 | Decatur Co Ambulance Service | Certificate of waiver | Jun 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.