Organization Active NPI

City of Miltonvale

Doing business as Miltonvale Ambulance Service

  • Ambulance
  • Miltonvale, KS
National Provider Identifier
1841394236
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1300 Issued in KS
Legal business name
CITY OF MILTONVALE
Doing business as
Miltonvale Ambulance Service
Practice address
107 Starr Avenue
Miltonvale, KS 67466
Phone
(785) 427-3380
NPI assigned
Sep 7, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Darla Bebber
Title
City Clerk
Phone
(785) 427-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1300 KS Primary

Addresses

Primary practice location

107 Starr Avenue
Miltonvale, KS 67466

Mailing address

PO Box 248
Miltonvale, KS 67466-0248
Phone (785) 427-3380

Other identifiers 1

IdentifierTypeStateIssuer
100091890AMedicaidKS

Other names 1

  • Miltonvale Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000609 KS Part B Supplier - Ambulance Service Supplier 4880854363 Practice locations: Miltonvale, KS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1841394236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "MILTONVALE",
            "state": "KS",
            "postal_code": "674660248",
            "telephone_number": "785-427-3380",
            "fax_number": "785-427-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 STARR AVENUE",
            "city": "MILTONVALE",
            "state": "KS",
            "postal_code": "67466",
            "telephone_number": "785-427-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MILTONVALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BEBBER",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "785-427-3380"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091890A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miltonvale Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miltonvale, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.