Organization Active NPI

County of Dickinson Office of County Clerk

Doing business as Dickinson County EMS

  • Land Ambulance
  • Abilene, KS
National Provider Identifier
1861674764
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1260 Issued in KS
Legal business name
COUNTY OF DICKINSON OFFICE OF COUNTY CLERK
Practice address
1001 N Brady St Ste 1
Abilene, KS 67410-1801
Phone
(785) 263-0716
Fax
(785) 263-1623
NPI assigned
Dec 3, 2007
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Chris Friederich
Title
Office Manager
Phone
(785) 263-4179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1260 KS Primary

Addresses

Primary practice location

1001 N Brady St Ste 1
Abilene, KS 67410-1801

Mailing address

1001 N Brady
Suite 1
Abilene, KS 67410-1801
Phone (785) 263-0716

Other identifiers 2

IdentifierTypeStateIssuer
112049OtherBCBS
30003940700001MedicaidKS

Other names 1

  • Dickinson County EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000757 KS Part B Supplier - Ambulance Service Supplier 7517914740 Practice locations: Abilene, KS; Herington, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of Dickinson Office of County Clerk2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1861674764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N BRADY",
            "address_2": "SUITE 1",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101801",
            "telephone_number": "785-263-0716",
            "fax_number": "785-263-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N BRADY ST STE 1",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101801",
            "telephone_number": "785-263-0716",
            "fax_number": "785-263-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DICKINSON OFFICE OF COUNTY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDERICH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-263-4179"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "112049",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003940700001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickinson County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dickinson County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abilene, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.