CITY OF MOUNDRIDGE NPI 1174679906

NPI Information

NPI: 1174679906
Provider Name: CITY OF MOUNDRIDGE

Doing Business As: MOUNDRIDGE EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
225 N WEDEL AVE
MOUNDRIDGE, KS
ZIP 67107
Phone: (620) 345-3657
Get Directions

CITY OF MOUNDRIDGE is a land transport ambulance in Moundridge, KS. CITY OF MOUNDRIDGE NPI is 1174679906. The provider is registered as an organization entity type.
The provider Is Doing Business As Moundridge Ems.

The provider's business location address is:

225 N WEDEL AVE
MOUNDRIDGE, KS
ZIP 67107-540
Phone: (620) 345-3657
Fax: (620) 345-3665

The provider's authorized official is Angie Vickrey .
The authorized official title is Billing and has the following contact phone number (620) 345-3657.

The CLIA number assigned to this NPI record is 17D0978026 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 12/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1350	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005643	OTHER	KANSAS	BLUE CROSS BLUE SHIELD OF KS
2	100091790A	MEDICAID	KANSAS
3	005643	MEDICARE PIN	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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