Haskell County Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Haskell, TX
NPI 1194945907 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1194945907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 104002 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Casey Caldwell, EMT-P
- Title
- Administrator
- Phone
- (940) 864-3945
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2098263 | Haskell Co Ambulance Service, Inc | Certificate of waiver | Jul 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120323000195 | TX | Part B Supplier - Ambulance Service Supplier | 5799945085 | Practice locations: Haskell, TX |
National Provider Directory
Locations
1300 S 1st St
Haskell, TX 79521
Phone (817) 864-3945
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 104002 | TX | Yes |
Addresses
Primary practice location
1300 S 1St St
Haskell, TX 79521-5428
Mailing address
PO Box 73
Haskell, TX 79521-0073
Phone (940) 864-3945
Other providers in Haskell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.