Organization Active NPI

Blanco Volunteer Ambulance Corp. Inc.

  • Land Ambulance
  • Blanco, TX
National Provider Identifier
1073556684
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
016001 Issued in TX
Legal business name
BLANCO VOLUNTEER AMBULANCE CORP. INC.
Practice address
607 Chandler
Blanco, TX 78606
Phone
(830) 833-5239
Fax
(830) 833-1032
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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
Chief
Phone
(830) 833-5239

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 016001 TX
Land Ambulance 3416L0300X 016001 TX Primary

Addresses

Primary practice location

607 Chandler
Blanco, TX 78606

Mailing address

PO Box 632
Blanco, TX 78606-0632
Phone (830) 833-5239

Other identifiers 1

IdentifierTypeStateIssuer
000120801MedicaidTX

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1073556684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786060632",
            "telephone_number": "830-833-5239",
            "fax_number": "830-833-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CHANDLER",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "78606",
            "telephone_number": "830-833-5239",
            "fax_number": "830-833-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO VOLUNTEER AMBULANCE CORP. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "830-833-5239",
        "authorized_official_credential": "MPA, LP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "016001",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "016001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000120801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.