Active NPI
Town and Country EMS, LLC
- Land Ambulance
- Hiawatha, KS
National Provider Identifier
1912277112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN AND COUNTRY EMS, LLC
- Practice address
- 824 Oregon St
Suite C
Hiawatha, KS 66434-2293 - Phone
- (785) 741-0612
- NPI assigned
- Jan 4, 2012
- Last updated
- Jan 4, 2012
- 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
- Michael Koerperich, EMT-P
- Title
- Member
- Phone
- (785) 741-0612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | KS | Primary |
Addresses
Primary practice location
824 Oregon St
Suite C
Hiawatha, KS 66434-2293
Mailing address
PO Box 296
1597 Nighthawk Rd
Hiawatha, KS 66434-0296
Phone (785) 741-0612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120420000323 | KS | Part B Supplier - Ambulance Service Supplier | 3678734571 | Practice locations: Hiawatha, KS |
National Provider Directory
National Provider DirectoryLocations
708 N 1st St
Hiawatha, KS 66434
Phone (785) 741-0612
824 Oregon St
Ste C
Hiawatha, KS 66434
Phone (785) 741-0612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1912277112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 296",
"address_2": "1597 NIGHTHAWK RD",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664340296",
"telephone_number": "785-741-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 OREGON ST",
"address_2": "SUITE C",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342293",
"telephone_number": "785-741-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN AND COUNTRY EMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "KOERPERICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "785-741-0612",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.