City of Kingman

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

950 Issued in KS

Legal business name

CITY OF KINGMAN

Practice address

332 N Main St
Kingman, KS 67068-1303

Phone

(620) 532-5624

Fax

(620) 532-1293

NPI assigned

Jun 13, 2005

Organization subpart

Yes

Parent organization

CITY OF KINGMANAs reported in NPPES

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

Authorized official

Name

Mr. Frank Soukup

Title

City Manager

Phone

(620) 532-3111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kingman Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Part of

City of Kingman

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1972507390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670680168",
            "telephone_number": "620-532-5624",
            "fax_number": "620-532-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N MAIN ST",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681303",
            "telephone_number": "620-532-5624",
            "fax_number": "620-532-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KINGMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF KINGMAN",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "SOUKUP",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "620-532-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "005798",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092090A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingman Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura C Bevis, ARNP
• Jessica Blackwill, APRN
• Lisa Boyle, PTA
• Cancer Center of Kansas, P.a.
• Christopher H Surtman DPM LLC
• County of Kingman
• Danielle Cox, RD
• Carol L Esau, M.S.
• Erika Fitzgerald, PHARMD
• Jessica Ann Marie Gault, DC

• All providers in Kingman, KS
• Land Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.