Organization Active NPI

County of Sheridan

Doing business as Sheridan County EMS

  • Basic Emergency Medical Technician
  • Hoxie, KS
National Provider Identifier
1821044991
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
1790 Issued in KS
Legal business name
COUNTY OF SHERIDAN
Doing business as
Sheridan County EMS
Practice address
1717 Oak Ave
RT 1 Box 941
Hoxie, KS 67740-4188
Phone
(785) 675-3364
Fax
(785) 675-3367
NPI assigned
May 26, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Ms. Deborah E Kaufman
Title
Director
Phone
(785) 675-3364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 1790 KS
Basic Emergency Medical Technician 146N00000X 1790 KS Primary

Addresses

Primary practice location

1717 Oak Ave
RT 1 Box 941
Hoxie, KS 67740-4188

Mailing address

1717 Oak Ave
RT 1 Box 941
Hoxie, KS 67740-4188
Phone (785) 675-3364

Other identifiers 1

IdentifierTypeStateIssuer
100070770AMedicaidKS

Other names 1

  • Sheridan County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000604 KS Part B Supplier - Ambulance Service Supplier 4183679418 Practice locations: Hoxie, KS; Selden, KS

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
17D1054506Sheridan County EMS1717 Oak Avenue, Hoxie, KS 67740Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1717 Oak Ave
#1
Hoxie, KS 67740
Phone (785) 675-3364

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hoxie Medical ClinicHoxie, KS, CCN 171863 Federally qualified health center Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1821044991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OAK AVE",
            "address_2": "RT 1 BOX 941",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "677404188",
            "telephone_number": "785-675-3364",
            "fax_number": "785-675-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK AVE",
            "address_2": "RT 1 BOX 941",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "677404188",
            "telephone_number": "785-675-3364",
            "fax_number": "785-675-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHERIDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-675-3364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "KS",
            "license": "1790",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "KS",
            "license": "1790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoxie, KS

Sources for this page

Verify at the official NPI Registry.