County of Cottle

Primary specialty

AmbulanceTaxonomy code 341600000X

License

051002 Issued in TX

Legal business name

COUNTY OF COTTLE

Doing business as

Paducah Ambulance Service

Practice address

808 10TH Street
Paducah, TX 79248-0502

Phone

(806) 492-2336

NPI assigned

Oct 18, 2013

Last updated

Jun 12, 2024By 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

Tana Jo Detwiler

Title

EMS Director

Phone

(806) 492-2336

Specialties & licenses 1

Addresses

Other names 1

• Paducah Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1114355625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 10TH STREET",
            "address_2": "PO BOX 502",
            "city": "PADUCAH",
            "state": "TX",
            "postal_code": "792480502",
            "telephone_number": "806-492-2336",
            "fax_number": "806-492-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 10TH STREET",
            "city": "PADUCAH",
            "state": "TX",
            "postal_code": "792480502",
            "telephone_number": "806-492-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COTTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "TANA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "806-492-2336"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "051002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paducah Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paducah Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childress County Hospital District (Childress Regional Medical Center)
• Covenant Care Center of Paducah, LLC
• Hardeman County Memorial Hospital LLC (Hardeman County Memorial Hospital)
• Paducah Healthcare Providers, LLC (Paducah Nursing Center)
• Paducah Isd
• Paducah Senior Citizens Center Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.