City of Schertz

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

094004 Issued in TX

Legal business name

CITY OF SCHERTZ

Doing business as

City of Schertz EMS

Practice address

1400 Schertz Pkwy
BLDG 7
Schertz, TX 78154-1673

Phone

(210) 619-1400

Fax

(210) 619-1450

NPI assigned

May 27, 2005

Organization subpart

Yes

Parent organization

CITY OF SCHERTZAs reported in NPPES

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

Authorized official

Name

Mr. Dudley D Wait, EMT-P

Title

Director of EMS

Phone

(210) 619-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of Schertz EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Part of

City of Schertz

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1043213606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SCHERTZ PKWY",
            "address_2": "BLDG 7",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541673",
            "telephone_number": "210-619-1400",
            "fax_number": "210-619-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SCHERTZ PKWY",
            "address_2": "BLDG 7",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541673",
            "telephone_number": "210-619-1400",
            "fax_number": "210-619-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SCHERTZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF SCHERTZ",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "WAIT",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "210-619-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "094004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086556001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Schertz EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Chestnut, MA CCC-SLP
• Laurel CHI
• Theresa Chista
• Victoria Chivers, RPH
• Cik Legacy Holdings LLC (Cik Medical Transportation)
• Jennifer Nicole Clark
• Measha Lashonda Clark
• Victoria Elizabeth Clark
• Ada Clerigo
• Katrina Cleveland, MS, LPC

• Land Ambulance in Schertz, TX
• Providers in Schertz, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.