Organization Active NPI

Blanco County Emergency Services District 2

  • Land Ambulance
  • Blanco, TX
National Provider Identifier
1346737814
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2
Practice address
431 Blanco Ave
Blanco, TX 78606-2037
Phone
(830) 833-5239
Fax
(830) 833-1032
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Ben Oakley, MPA, LP
Title
EMS Chief
Phone
(830) 833-5239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

431 Blanco Ave
Blanco, TX 78606-2037

Mailing address

PO Box 972
Blanco, TX 78606-0972
Phone (830) 833-5239

Other identifiers 1

IdentifierTypeStateIssuer
391522501MedicaidTX

Other names 1

  • Blanco County ESD 2 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203000343 TX Part B Supplier - Ambulance Service Supplier 5799029781 Practice locations: Blanco, 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
45D2158112Blanco County Emergency Services District #2431 Blanco Ave, Blanco, TX 78606Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Blanco County Emergency Services District 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 Chandler St
Blanco, TX 78606
Phone (830) 833-5239

431 Blanco Ave
Blanco, TX 78606
Phone (830) 833-5239

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1346737814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786060972",
            "telephone_number": "830-833-5239",
            "fax_number": "830-833-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BLANCO AVE",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786062037",
            "telephone_number": "830-833-5239",
            "fax_number": "830-833-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "830-833-5239",
        "authorized_official_credential": "MPA, LP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391522501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanco County ESD 2",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Blanco County ESD 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blanco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.