Organization Active NPI

North Blanco County Emergency Medical Services, Inc.

  • Land Ambulance
  • Johnson City, TX
National Provider Identifier
1023086063
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
016002 Issued in TX
Legal business name
NORTH BLANCO COUNTY EMERGENCY MEDICAL SERVICES, INC.
Practice address
105 Bill Watson Drive
Johnson City, TX 78636-0557
Phone
(830) 868-7834
Fax
(830) 868-9234
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Benjamin J Oakley, MPA, LPNPI 1447979422
Title
EMS Chief
Phone
(830) 868-7834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 016002 TX Primary

Addresses

Primary practice location

105 Bill Watson Drive
Johnson City, TX 78636-0557

Mailing address

PO Box 557
Johnson City, TX 78636-0557
Phone (830) 868-7834

Other identifiers 1

IdentifierTypeStateIssuer
000076201MedicaidTX

Other names 1

  • North Blanco 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
O20100922000488 TX Part B Supplier - Ambulance Service Supplier 4486770948 Practice locations: Johnson City, 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
45D1026601North Blanco County EMS105 Bill Watson Drive, Johnson City, TX 78636AccreditationMar 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1023086063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786360557",
            "telephone_number": "830-868-7834",
            "fax_number": "830-868-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BILL WATSON DRIVE",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786360557",
            "telephone_number": "830-868-7834",
            "fax_number": "830-868-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BLANCO COUNTY EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "830-868-7834",
        "authorized_official_credential": "MPA, LP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "016002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000076201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Blanco County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.