Southeast Texas EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

123026 Issued in TX

Legal business name

SOUTHEAST TEXAS EMS

Practice address

5055 Bragg Circle
Beaumont, TX 77705

Phone

(409) 898-4740

Fax

(409) 898-4753

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Ann Bridges

Title

Office & Billing Manager

Phone

(409) 898-4740

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1194770255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12898",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77726",
            "telephone_number": "409-898-4740",
            "fax_number": "409-898-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 BRAGG CIRCLE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77705",
            "telephone_number": "409-898-4740",
            "fax_number": "409-898-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE & BILLING MANAGER",
        "authorized_official_telephone_number": "409-898-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "123026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148423001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB RAILROAD",
            "identifier": "590015263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Texas Cardiology Associates II LLP
• Southeast Texas Child Guidance Center, PLLC
• Southeast Texas Community Health Clinic
• Southeast Texas Counseling & Assessment Services, PLLC
• Southeast Texas Ear, Nose & Throat, LLP
• Southeast Texas Eye Specialists, PLLC
• Southeast Texas Gastroenterology Associates, P.a.
• Southeast Texas Homecare Specialists, Inc.
• Southeast Texas Imaging LLP
• Southeast Texas Infectious Disease PLLC

• Land Ambulance in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.