Groveton Emergency Medical Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

228003 Issued in TX

Legal business name

GROVETON EMERGENCY MEDICAL SERVICE INC

Practice address

200 W Second St
Groveton, TX 75845-7700

Phone

(936) 642-1212

Fax

(936) 642-0191

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

David Robison

Title

Owner/Administrator

Phone

(936) 642-1212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1306862586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SECOND ST",
            "city": "GROVETON",
            "state": "TX",
            "postal_code": "758457700",
            "telephone_number": "936-642-1212",
            "fax_number": "936-642-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVETON EMERGENCY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "936-642-1212"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "228003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140465901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Kay Driskell, M.S. CCC-SLP
• Connie Dee Fuller
• Ira Richard Gillum, PA C
• Laura Lea Glover, LVN
• Golden Pond Counseling
• Groveton I Enterprises LLC (Groveton Nursing Home)
• Groveton I Enterprises, LLC (Groveton Assisted Living)
• Groveton Independent School District
• Groveton Texas Hospital Authority
• Groveton Texas Hospital Authority (Goveton Nursing Home)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.