Yorktown Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

062008 Issued in TX

Legal business name

YORKTOWN EMERGENCY MEDICAL SERVICE

Practice address

508 N Riedel St
Yorktown, TX 78164-1810

Phone

(361) 564-9410

Fax

(361) 564-9476

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

John William Green

Title

Aor

Phone

(361) 938-7080

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1063415107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781640142",
            "telephone_number": "361-564-9410",
            "fax_number": "361-564-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-9410",
            "fax_number": "361-564-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWN EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AOR",
        "authorized_official_telephone_number": "361-938-7080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "062008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "514705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDH LICENSE NUMBER",
            "identifier": "062008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000404601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Pacek, P.A.
• Maria S Perez Casten
• Southern Assured Home Health, LLC
• Kathleen Titus
• Robin Kathleen Woodmansee-Wewe, AGPCNP-BC
• Yorktown Isd
• Crystal Yount, APRN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.