Active NPI
County of Sheridan
Doing business as Sheridan County EMS
- Basic Emergency Medical Technician
- Hoxie, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 1790
- 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, 2013
- 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. Deborah E Kaufman
- Title
- Director
- Phone
- (785) 675-3364
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100070770A | Medicaid | KS |
Other names 1
- Sheridan County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050318000604 | KS | Part B Supplier - Ambulance Service Supplier | 4183679418 | Practice locations: Hoxie, KS; Selden, KS |
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 |
|---|---|---|---|
| 17D1054506 | Sheridan County EMS | Certificate of waiver | May 22, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Sheridan County Public Health
- Public Health or Welfare Agency
- Hoxie, KS
- NPI 1205899150
Member Of
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hoxie Medical Clinic | 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.
-
dba Hoxie Medical Clinic
- Federally Qualified Health Center (FQHC)
- Hoxie, KS
- NPI 1942316799
Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.