Cherokee County Ambulance Association Inc.
Organization Active NPI Ambulance · Columbus, KS
NPI 1942390638 · NPPES record last updated Jan 4, 2010
Key facts
- NPI
- 1942390638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 290 (KS)
- Legal business name
- CHEROKEE COUNTY AMBULANCE ASSOCIATION INC.
- Practice address
- 800 W Powrachute Way
Columbus, KS 66725-9701 - Phone
- (620) 429-3018
- Fax
- (620) 429-1352
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Douglas C Mogle
- Title
- Service Director
- Phone
- (620) 429-3018
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100202000237 | KS | Part B Supplier - Ambulance Service Supplier | 5799828570 | Practice locations: Columbus, KS |
National Provider Directory
Locations
800 W Powrachute Way
Columbus, KS 66725
Phone (316) 429-3018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 290 | KS | Yes |
Addresses
Primary practice location
800 W Powrachute Way
Columbus, KS 66725-9701
Mailing address
PO Box 307
Columbus, KS 66725-0307
Phone (620) 429-3018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000005861 | Other | KS | BCBS OF KS |
| 100092260A | Medicaid | KS |
Other providers in Columbus, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.