Organization Active NPI

Ballard Aviation Inc

  • Air Ambulance
  • Wichita, KS
National Provider Identifier
1790787430
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
930 Issued in KS
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
96001920MedicaidCO

Other names 1

  • EAGLEMED Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.