Edwards County Hospital and Healthcare Center
Organization Active NPI Ambulance · Kinsley, KS
NPI 1851494900 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1851494900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 530 (KS)
- Legal business name
- EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
- Practice address
- 620 W 8TH St
Kinsley, KS 67547-2329 - Phone
- (620) 659-3621
- Fax
- (620) 659-3810
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Jimmie Hansel
- Title
- Chief Executive Officer
- Phone
- (620) 659-3621
Other NPIs on the same Medicare enrollment 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000254 | KS | Part B Supplier - Clinic/Group Practice | 2264343383 |
Receives reassigned benefits from 23 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kinsley, KS; Spearville, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 530 | KS | Yes |
Addresses
Primary practice location
620 W 8TH St
Kinsley, KS 67547-2329
Mailing address
620 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-3621
Other practice location 1
604 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-2732
Other practice location 2
205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100243190A | Medicaid | KS |
Other names
- Edwards County Ambulance
- Edwards County Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdowler@edcomed.com | Direct |
Other providers in Kinsley, KS
- Emily Dreiling
- Edwards County Hospital and Healthcare Center
- Edwards County Hospital and Healthcare Center
- Edwards County Hospital and Healthcare Center
- Edwards County Hospital and Healthcare Center
- Edwards County Hospital and Healthcare Center
- Tehren Esparza
- Brad Eric Eustace
- Frazier Optometry, PA
- Jeremie Eldon Frazier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.