EMS of Nueces Canyon, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

193002 Issued in TX

Legal business name

EMS OF NUECES CANYON, INC

Practice address

204 N Leon-Klink Ave
Camp Wood, TX 78833

Phone

(830) 591-3298

Fax

(210) 653-8168

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Stephens

Title

Administrator

Phone

(830) 591-3298

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1104983840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "CAMP WOOD",
            "state": "TX",
            "postal_code": "788330460",
            "telephone_number": "830-591-3298",
            "fax_number": "210-653-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N LEON-KLINK AVE",
            "city": "CAMP WOOD",
            "state": "TX",
            "postal_code": "78833",
            "telephone_number": "830-591-3298",
            "fax_number": "210-653-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS OF NUECES CANYON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-591-3298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "193002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "517864",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFED",
            "identifier": "517864",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BMK Diagnostics LP
• Camp Wood SNF, LLC
• Cedar Senior Services LP
• Community Health Development, Inc
• Sherryl O Dunlap, FNP-BC
• Hill Country Transport Service, LLC
• John Arthur Perez, P.A.
• Uvalde County Hospital Authority

• Land Ambulance in Camp Wood, TX
• Providers in Camp Wood, 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 19, 2008; 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.