Organization Active NPI

City of El Campo

Doing business as El Campo EMS

  • Ambulance
  • El Campo, TX
National Provider Identifier
1225010291
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
241002 Issued in TX
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590001000OtherPALMETTO
086374801MedicaidTX

Other names 1

  • El Campo EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000047 TX Part B Supplier - Ambulance Service Supplier 4981766003 Practice locations: El Campo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1027168El Campo EMS1011 West Loop, El Campo, TX 77437Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.