Active NPI
City of El Campo
Doing business as El Campo EMS
- Ambulance
- El Campo, TX
National Provider Identifier
1225010291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 241002
- Legal business name
- CITY OF EL CAMPO
- Doing business as
- El Campo EMS
- Practice address
- 1011 West Loop
El Campo, TX 77437-9480 - Phone
- (979) 543-3335
- Fax
- (979) 541-5062
- NPI assigned
- Nov 16, 2005
- Last updated
- Mar 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garret Bubela
- Title
- EMS Director
- Phone
- (979) 543-3335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 241002 | TX | Primary |
Addresses
Primary practice location
1011 West Loop
El Campo, TX 77437-9480
Mailing address
PO Box 4897 Dept #569
Houston, TX 77210-4897
Phone (855) 626-9660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590001000 | Other | PALMETTO | |
| 086374801 | Medicaid | TX |
Other names 1
- El Campo EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081229000047 | TX | Part B Supplier - Ambulance Service Supplier | 4981766003 | Practice locations: El Campo, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1027168 | El Campo EMS | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1011 West Loop
El Campo, TX 77437
Phone (979) 543-3335
220 Merchant St
El Campo, TX 77437
Phone (979) 543-3335
315 E Jackson St
El Campo, TX 77437
Phone (979) 282-9955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647907200000",
"number": "1225010291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4897 DEPT #569",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104897",
"telephone_number": "855-626-9660",
"fax_number": "833-953-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WEST LOOP",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774379480",
"telephone_number": "979-543-3335",
"fax_number": "979-541-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF EL CAMPO",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A",
"authorized_official_last_name": "BUBELA",
"authorized_official_first_name": "GARRET",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "979-543-3335",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "241002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "590001000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086374801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "El Campo EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "El Campo EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Campo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.