NPIMap

Organization Active NPI

Goodland Regional Medical Center

Doing business as Northwest Kansas Ambulance Service

  • Ambulance
  • Goodland, KS
National Provider Identifier
1831247790
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1440 Issued in KS
Legal business name
GOODLAND REGIONAL MEDICAL CENTER
Doing business as
Northwest Kansas Ambulance Service
Practice address
220 W 2ND St
Goodland, KS 67735-1602
Phone
(785) 890-3625
Fax
(785) 890-6047
NPI assigned
Jan 8, 2007
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Jay Jolly
Title
Ceo
Phone
(785) 890-3625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1440 KS Primary

Addresses

Primary practice location

220 W 2ND St
Goodland, KS 67735-1602

Mailing address

220 W 2ND St
Goodland, KS 67735-1602
Phone (785) 890-3625

Other identifiers 1

IdentifierTypeStateIssuer
005590OtherKSBLUE CROSS

Other names 1

  • Northwest Kansas Ambulance Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest KS Reg Med CT5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1831247790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 2ND ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351602",
            "telephone_number": "785-890-3625",
            "fax_number": "785-890-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 2ND ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351602",
            "telephone_number": "785-890-3625",
            "fax_number": "785-890-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-890-3625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "005590",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Kansas Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.