Organization Active NPI

Town and Country EMS, LLC

  • Land Ambulance
  • Hiawatha, KS
National Provider Identifier
1912277112
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120420000323 KS Part B Supplier - Ambulance Service Supplier 3678734571 Practice locations: Hiawatha, KS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.