Georgetown Ambulance SE

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

GEORGETOWN AMBULANCE SE

Practice address

2000 Scenic Drive
Georgetown, TX 78626

Phone

(512) 942-4262

Fax

(512) 942-4138

NPI assigned

Mar 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Laake

Title

Authorized Agent

Phone

(281) 397-0397

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316916497",
    "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": "281-397-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DRIVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-942-4262",
            "fax_number": "512-942-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN AMBULANCE SE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAAKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "281-397-0397"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1635669",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.