Active NPI
South Taylor Emergency Medical Service
- Land Ambulance
- Abilene, TX
National Provider Identifier
1073591996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 221002
- Legal business name
- SOUTH TAYLOR EMERGENCY MEDICAL SERVICE
- Practice address
- 1458 County Road 314
Abilene, TX 79606-6126 - Phone
- (325) 500-4950
- NPI assigned
- Jan 3, 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
- David Allman
- Title
- Director
- Phone
- (325) 500-4950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 221002 | TX | Primary |
Addresses
Primary practice location
1458 County Road 314
Abilene, TX 79606-6126
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000419401 | Medicaid | TX |
Other names 1
- South Taylor 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 |
|---|---|---|---|---|
| O20120712000363 | TX | Part B Supplier - Ambulance Service Supplier | 2365607652 | Practice locations: Abilene, 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 |
|---|---|---|---|
| 45D1026148 | South Taylor Emergency Medical Services | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1458 County Road 314
Abilene, TX 79606
Phone (325) 500-4950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1073591996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 COUNTY ROAD 314",
"city": "ABILENE",
"state": "TX",
"postal_code": "796066126",
"telephone_number": "325-500-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TAYLOR EMERGENCY MEDICAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "ALLMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "325-500-4950"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "221002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000419401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Taylor EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.