City of Wharton EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

241001 Issued in TX

Legal business name

CITY OF WHARTON EMS

Practice address

2010 N Fulton St
Wharton, TX 77488-2823

Phone

(979) 532-4811

Fax

(979) 532-2459

NPI assigned

Mar 6, 2007

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Medina

Title

President Billing MGR

Phone

(979) 282-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1114057742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774881239",
            "telephone_number": "979-282-9955",
            "fax_number": "979-532-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882823",
            "telephone_number": "979-532-4811",
            "fax_number": "979-532-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WHARTON EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT BILLING MGR",
        "authorized_official_telephone_number": "979-282-9955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "241001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086434001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wharton",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Wharton",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2010 N Fulton St",
            "city": "Wharton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774882823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Capital Advanced Wound Care PLLC
• Jerry Anthony Castillo Jr.
• Julius Romalo Childress
• Cynthia Ann Chupik, LCDC
• Citizens Medical Center County of Victoria (Wharton Nursing and Rehabilitation Center)
• Clinical Partners - Wharton
• Collins Fisher Radiology Associates
• Community Clinics of Texas, Inc
• Community Prescribed Pediatric Extended Day Care Inc
• Yvonne Compian

• Ambulance in Wharton, TX
• Providers in Wharton, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.