Active NPI
County of Dickinson Office of County Clerk
Doing business as Dickinson County EMS
- Land Ambulance
- Abilene, KS
National Provider Identifier
1861674764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1260
- 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, 2023
- 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
- Chris Friederich
- Title
- Office Manager
- Phone
- (785) 263-4179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112049 | Other | BCBS | |
| 30003940700001 | Medicaid | KS |
Other names 1
- Dickinson 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 |
|---|---|---|---|---|
| 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).
-
- State or Local Public Health Clinic/Center
- Abilene, KS
- NPI 1568544617
7517914740
National Provider Directory
National Provider Directory- Tax ID family
- County of Dickinson Office of County Clerk
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Abilene, KS
- NPI 1568544617
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.