Active NPI
Ballard Aviation Inc
- Air Ambulance
- Wichita, KS
National Provider Identifier
1790787430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 930
- Legal business name
- BALLARD AVIATION INC
- Practice address
- 6601 Pueblo Dr
Wichita, KS 67209-2926 - Phone
- (800) 764-3343
- Fax
- (316) 613-4801
- NPI assigned
- Aug 12, 2005
- 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
- Mrs. Dawn Zon
- Title
- Director of Administration
- Phone
- (800) 764-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 930 | KS | Primary |
Addresses
Primary practice location
6601 Pueblo Dr
Wichita, KS 67209-2926
Mailing address
6601 Pueblo Dr
Wichita, KS 67209-2926
Phone (800) 764-3343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96001920 | Medicaid | CO |
Other names 1
- EAGLEMED
National Provider Directory
National Provider DirectoryLocations
2120 S Airport Rd
Wichita, KS 67209
Phone (316) 946-4855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1790787430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 PUEBLO DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092926",
"telephone_number": "800-764-3343",
"fax_number": "316-613-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 PUEBLO DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092926",
"telephone_number": "800-764-3343",
"fax_number": "316-613-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALLARD AVIATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ZON",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
"authorized_official_telephone_number": "800-764-3343",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "KS",
"license": "930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96001920",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EAGLEMED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.