Active NPI
City of Conway Springs
Doing business as Conway Springs Volunteer EMS
- Land Ambulance
- Conway Springs, KS
National Provider Identifier
1902861487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 440
- Legal business name
- CITY OF CONWAY SPRINGS
- Doing business as
- Conway Springs Volunteer EMS
- Practice address
- 310 West Spring
Conway Springs, KS 67031 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Apr 19, 2006
- Last updated
- Dec 12, 2008
- 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
- Janice Wise
- Title
- City Clerk
- Phone
- (402) 572-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 440 | KS | Primary |
Addresses
Primary practice location
310 West Spring
Conway Springs, KS 67031
Mailing address
208 W Spring Ave
Conway Springs, KS 67031-8288
Phone (402) 572-4019
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005803 | Other | KS | BLUE CROSS PROVIDER NO |
| P00124077 | Other | RAILROAD MEDICARE PROVIDE | |
| 100092130A | Medicaid | KS |
Other names 1
- CONWAY SPRINGS VOLUNTEER 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 |
|---|---|---|---|---|
| O20040122000842 | KS | Part B Supplier - Ambulance Service Supplier | 1658273461 | Practice locations: Conway Springs, KS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1902861487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W SPRING AVE",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "670318288",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WEST SPRING",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "67031",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CONWAY SPRINGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "WISE",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "CITY CLERK",
"authorized_official_telephone_number": "402-572-4019"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KS",
"license": "440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "005803",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDE",
"identifier": "P00124077",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100092130A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CONWAY SPRINGS VOLUNTEER EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conway Springs, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.