Bennington Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

150 Issued in KS

Legal business name

BENNINGTON AMBULANCE SERVICE

Doing business as

Ottawa County Fire District #4

Practice address

584 N. 180TH Road
Bennington, KS 67422

Phone

(785) 488-3768

Fax

(785) 488-3375

NPI assigned

Oct 2, 2006

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Swetson, EMT-I

Title

Service Director

Phone

(785) 488-3768

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ottawa County Fire District #4 Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1932292505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N. 180TH ROAD",
            "city": "BENNINGTON",
            "state": "KS",
            "postal_code": "67422",
            "telephone_number": "785-488-3768",
            "fax_number": "785-488-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N. 180TH ROAD",
            "city": "BENNINGTON",
            "state": "KS",
            "postal_code": "67422",
            "telephone_number": "785-488-3768",
            "fax_number": "785-488-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGTON AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SWETSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "785-488-3768",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091580B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottawa County Fire District #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Bennington, KS
• Providers in Bennington, KS by specialty
• Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.