City of Washington
Organization Active NPI Ambulance · Washington, KS
NPI 1972505758 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1972505758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2040 (KS)
- Legal business name
- CITY OF WASHINGTON
- Practice address
- 900 D St
Washington, KS 66968-2402 - Phone
- (785) 325-2284
- Fax
- (785) 325-2678
- NPI assigned
- Aug 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Caroline A Scoville
- Title
- Emt
- Phone
- (785) 325-2284
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2088673 | City of Washington EMS | Certificate of waiver | Dec 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001635 | KS | Part B Supplier - Ambulance Service Supplier | 9739162603 | Practice locations: Hanover, KS; Washington, KS |
National Provider Directory
Locations
301 C St
Washington, KS 66968
301 C St
#296
Washington, KS 66968
110 E 2nd St
Washington, KS 66968
Phone (785) 325-2284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2040 | KS | Yes |
Addresses
Primary practice location
900 D St
Washington, KS 66968-2402
Mailing address
PO Box 296
301 C Street
Washington, KS 66968-0296
Phone (785) 325-2284
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826590031 | Other | KS | RAILROAD MEDICARE ID |
| 005518 | Other | KS | BLUE CROSS BLUE SHIELD KS |
| 100091490A | Medicaid | KS | |
| 180833 | Other | KS | UCARE OF MINNESOTA ID |
Other providers in Washington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.