St Johns EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

300237 Issued in TX

Legal business name

ST JOHNS EMS LLC

Practice address

9630 Hollock St
Houston, TX 77075-1806

Phone

(713) 838-2273

Fax

(713) 838-7088

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Anaconi Rodriguez

Title

Owner

Phone

(713) 838-2273

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1255320099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 HOLLOCK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770751806",
            "telephone_number": "713-838-2273",
            "fax_number": "713-838-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 HOLLOCK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770751806",
            "telephone_number": "713-838-2273",
            "fax_number": "713-838-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANACONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-838-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "300237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000719701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0000AMB066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.