Carnes Professional Services L.L.C.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

800133 Issued in TX

Legal business name

CARNES PROFESSIONAL SERVICES L.L.C.

Doing business as

Legacy EMS Legends EMS

Practice address

707 Texas Ave S
Ste 218 D
College Station, TX 77840-1967

Phone

(979) 703-6681

Fax

(979) 703-6676

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Wayne Carnes

Title

Ceo/Director

Phone

(979) 703-6681

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Legacy EMS Legends EMS Doing business as

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1013957505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 TEXAS AVE S",
            "address_2": "STE 218 D",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401967",
            "telephone_number": "979-703-6681",
            "fax_number": "979-703-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 TEXAS AVE S",
            "address_2": "STE 218 D",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401967",
            "telephone_number": "979-703-6681",
            "fax_number": "979-703-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNES PROFESSIONAL SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CARNES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "979-703-6681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "800133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB831",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180552501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00325925",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy EMS Legends EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in College Station, TX
• Providers in College Station, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.