Organization Active NPI

South Taylor Emergency Medical Service

  • Land Ambulance
  • Abilene, TX
National Provider Identifier
1073591996
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
221002 Issued in TX
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

Updated by the provider on Apr 5, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000419401MedicaidTX

Other names 1

  • South Taylor EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000363 TX Part B Supplier - Ambulance Service Supplier 2365607652 Practice locations: Abilene, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1026148South Taylor Emergency Medical Services1458 County Road 314, Abilene, TX 79606Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.