MEDICINE LODGE MEMORIAL HOSPITAL AMBULANCE SERVICE
NPI 1609979004
Ambulance in Medicine Lodge, KS

Active since September 07, 2006
710 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104(620) 886-3771(620) 886-5012 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2024, Nov 19, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Medicine Lodge Memorial Hospital Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICINE LODGE MEMORIAL HOSPITAL AMBULANCE SERVICE (NPI 1609979004) is a healthcare organization registered as an ambulance in Medicine Lodge, Kansas and active in the NPI registry since September 2006. The organization lists Ashley Taylor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609979004
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMEDICINE LODGE MEMORIAL HOSPITAL
Location Address710 N WALNUT ST, DRAWER 'C'Medicine Lodge, KS 67104-1019
Mailing Address710 N Walnut St, Drawer 'c'Medicine Lodge, KS 67104-1019 · (620) 886-3771 · Fax (620) 886-5012
Fax(620) 886-5012
Organization SubpartNo
Authorized OfficialAshley TaylorAdministrator · (620) 886-3771
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1609979004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in KS · H004002
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
710 N WALNUT ST, Medicine Lodge, KS 67104

Other Names 1

Doing Business AsMedicine Lodge Memorial Hospital Ambulance Service

Other Identifiers 1

Medicaid100092110DKS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medicine Lodge Memorial Hospital Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Medicine Lodge Memorial Hospital Ambulance Service, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner4
Family Practice3
Certified Registered Nurse Anesthetist (CRNA)2
General Surgery1
Pain Management1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1134657158
710 N WALNUT ST
Medicine Lodge, KS 67104
(620) 886-5949
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407288640
710 N WALNUT ST
Medicine Lodge, KS 67104
(620) 886-3771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538135389
710 N WALNUT ST
Medicine Lodge, KS 67104
(620) 886-3771
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1811991797
710 N WALNUT ST
Medicine Lodge, KS 67104
(620) 886-3771
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407419930
929 N SAINT FRANCIS AVE
Wichita, KS 67214
(316) 268-5000
✔ PECOS✔ Accepts Medicare73 mi
Family Practice
NPI 1457972937
1010 N KANSAS ST STE 3023
Wichita, KS 67214
(316) 293-2665
✔ PECOS✔ Accepts Medicare75 mi
Family Practice
NPI 1821527631
1010 N KANSAS ST
Wichita, KS 67214
(316) 858-3460
✔ PECOS✔ Accepts Medicare75 mi
General Surgery
NPI 1215385539
3243 E MURDOCK ST STE 404
Wichita, KS 67208
(316) 685-6222
✔ PECOS✔ Accepts Medicare76 mi
Family Practice
NPI 1588157960
105 S ANDOVER RD STE D
Andover, KS 67002
(316) 925-7871
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1932434065
415 N MAIN ST
Ulysses, KS 67880
(620) 356-1266
✔ PECOS✔ Accepts Medicare154 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124690201
2700 CLAY EDWARDS DR STE 240
North Kansas City, MO 64116
(816) 691-2021
✔ PECOS✔ Accepts Medicare254 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicine Lodge Memorial Hospital's NPI number?

The NPI number for Medicine Lodge Memorial Hospital is 1609979004. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Medicine Lodge Memorial Hospital Ambulance Service.

Where is Medicine Lodge Memorial Hospital located?

Medicine Lodge Memorial Hospital is located at 710 N Walnut St Drawer 'c', Medicine Lodge, KS 67104. The listed phone number is (620) 886-3771.

What is Medicine Lodge Memorial Hospital's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Medicine Lodge Memorial Hospital enrolled in Medicare?

Yes. Medicine Lodge Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medicine Lodge Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Medicine Lodge Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (3) and Certified Registered Nurse Anesthetist (CRNA) (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medicine Lodge Memorial Hospital accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Medicine Lodge Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medicine Lodge Memorial Hospital was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.