Provider Demographics
NPI:1932328705
Name:CITY OF HOISINGTON
Entity Type:Organization
Organization Name:CITY OF HOISINGTON
Other - Org Name:CITY OF HOISINGTON AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-653-4150
Mailing Address - Street 1:202 EAST BROADWAY
Mailing Address - Street 2:PO BOX 418
Mailing Address - City:HOISINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67544-0418
Mailing Address - Country:US
Mailing Address - Phone:620-653-4150
Mailing Address - Fax:620-653-4029
Practice Address - Street 1:202 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:HOISINGTON
Practice Address - State:KS
Practice Address - Zip Code:67544-0418
Practice Address - Country:US
Practice Address - Phone:620-653-4150
Practice Address - Fax:620-653-4029
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF HOISINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-24
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100092220-AMedicaid
KS590496156Medicare ID - Type UnspecifiedRAILROAD MEDICARE
KS05830Medicare ID - Type Unspecified