Active NPI
North Blanco County Emergency Medical Services, Inc.
- Land Ambulance
- Johnson City, TX
National Provider Identifier
1023086063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 016002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin J Oakley, MPA, LP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000076201 | Medicaid | TX |
Other names 1
- North Blanco 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 |
|---|---|---|---|---|
| O20100922000488 | TX | Part B Supplier - Ambulance Service Supplier | 4486770948 | Practice locations: Johnson City, 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 |
|---|---|---|---|
| 45D1026601 | North Blanco County EMS | Accreditation | Mar 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Paramedic
- Blanco, TX
- NPI 1447979422
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.