County of Leavenworth

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1010 Issued in KS

Legal business name

COUNTY OF LEAVENWORTH

Practice address

500 Eisenhower Rd Ste 103
Leavenworth, KS 66048-5161

Phone

(913) 250-8000

Fax

(913) 250-0063

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jamie A Miller, MICT

Title

Director

Phone

(913) 250-8000

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Leavenworth County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Leavenworth

  • State or Local Public Health Clinic/Center
  • Leavenworth, KS
  • NPI 1174540256

  9739126533

  Same PAC ID

Tax ID family

Leavenworth Co Skilled2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Leavenworth

  • State or Local Public Health Clinic/Center
  • Leavenworth, KS
  • NPI 1174540256
  NPD tax ID

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1972606580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EISENHOWER RD STE 103",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485161",
            "telephone_number": "913-250-8000",
            "fax_number": "913-250-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EISENHOWER RD STE 103",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485161",
            "telephone_number": "913-250-8000",
            "fax_number": "913-250-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LEAVENWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-250-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MICT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BCBS",
            "identifier": "291732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GAURD MEDICAID HMO",
            "identifier": "035970",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "20842016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091480C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PGBA",
            "identifier": "590077899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS DEPT OF LABOR",
            "identifier": "144275700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10523977",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085760A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800465007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leavenworth County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linn Arthur Cooper, R.P.T.
• Jeffrey Scott Copeland, MSN ARNP
• Kaitlyn Corbin
• Phyllis Correll, CCC-SLP
• County of Leavenworth
• Janelle Rene' Cowley, MSN
• Tracy S Cowman, AU.D., CCC-A
• Tammy Louise Cox, RRT
• Christinia Elaine Craig
• Brooke Nicole Crane, MSN, APRN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.