Organization Active NPI

County of Hardeman

  • Land Ambulance
  • Quanah, TX
National Provider Identifier
1003810698
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
099006 Issued in TX
Legal business name
COUNTY OF HARDEMAN
Practice address
220 Mercer St
Quanah, TX 79252-4022
Phone
(940) 663-2334
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Brady Whitaker
Title
EMS Director
Phone
(940) 663-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 099006 TX Primary

Addresses

Primary practice location

220 Mercer St
Quanah, TX 79252-4022

Mailing address

PO Box 30
Quanah, TX 79252-0030
Phone (903) 473-0927

Other identifiers 1

IdentifierTypeStateIssuer
1003810698MedicaidTX

Other names 1

  • Hardeman County EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001495 TX Part B Supplier - Ambulance Service Supplier 6204825441 Practice locations: Chillicothe, TX; Quanah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1027675Hardeman County EMS220 Mercer St, Quanah, TX 79252Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hardeman County Lifeline2 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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1003810698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792520030",
            "telephone_number": "903-473-0927",
            "fax_number": "832-778-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MERCER ST",
            "city": "QUANAH",
            "state": "TX",
            "postal_code": "792524022",
            "telephone_number": "940-663-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HARDEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "940-663-2334"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "099006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003810698",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardeman County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quanah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.