Active NPI
County of Hardeman
- Land Ambulance
- Quanah, TX
National Provider Identifier
1003810698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 099006
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003810698 | Medicaid | TX |
Other names 1
- Hardeman County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040511001495 | TX | Part B Supplier - Ambulance Service Supplier | 6204825441 | Practice locations: Chillicothe, TX; Quanah, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1027675 | Hardeman County EMS | Certificate of waiver | Jul 6, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Hardeman County Lifeline
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Quanah, TX
- NPI 1811030315
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.