Stonewall County Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

217003 Issued in TX

Legal business name

STONEWALL COUNTY AMBULANCE SERVICE

Practice address

821 N Broadway St
Aspermont, TX 79502-2029

Phone

(940) 989-3551

Fax

(940) 989-3395

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Tammy Kay Heidenheimer

Title

EMS Director

Phone

(940) 989-3551

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1255464392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795020457",
            "telephone_number": "940-989-3551",
            "fax_number": "940-989-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-989-3551",
            "fax_number": "940-989-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWALL COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "HEIDENHEIMER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "940-989-3551"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "217003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AMB501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00227345",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510075-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Odom, APRN
• Frederic K. Passmann, MD
• Saul Harris Pennington, PA-C
• Whitney Shumaker
• Marsha Smith, FNP-C
• Stonewall County Hospital District
• Stonewall Memorial Hospital
• Stonewall Memorial Hospital
• Stonewall Memorial Hospital
• Stonewall Memorial Hospital

• All providers in Aspermont, TX
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.