Haskell County Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

104002 Issued in TX

Legal business name

HASKELL COUNTY AMBULANCE SERVICE, INC.

Practice address

1300 S 1St St
Haskell, TX 79521-5428

Phone

(940) 864-3945

Fax

(940) 864-2575

NPI assigned

Apr 26, 2007

Last updated

Jul 21, 2010By 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

Mr. Casey Caldwell, EMT-P

Title

Administrator

Phone

(940) 864-3945

Specialties & licenses 1

Addresses

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1194945907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795210073",
            "telephone_number": "940-864-3945",
            "fax_number": "940-864-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 1ST ST",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795215428",
            "telephone_number": "940-864-3945",
            "fax_number": "940-864-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASKELL COUNTY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-864-3945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "104002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Simmons Everett
• Geosmiles Dental PLLC (Haskell Dental)
• Renee Gober, PHARMD
• Johnnie Rebbecca Harris, PHD, MSN/MHA, RN
• Haskell Cisd
• Haskell County Hospital (Haskell Memorial Hospital)
• Haskell County Hospital (Haskell Memorial Hospital Pharmacy)
• Haskell County Hospital (Haskell Rural Health Clinic)
• Haskell County Hospital (Haskell Memorial Hospital Clinic)
• Haskell Dental Partnership, PLLC (Big Country Family Dental)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.