Mason Ambulance Service
Organization Active NPI Ambulance · Mason, TX
NPI 1356433700 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1356433700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 160003 (TX)
- Legal business name
- MASON AMBULANCE SERVICE
- Practice address
- 220 Moody
Mason, TX 76856 - Phone
- (325) 347-6593
- Fax
- (325) 347-0243
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Sheree Hardin
- Title
- County Judge
- Phone
- (325) 347-5556
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0887570 | Mason County EMS | Certificate of waiver | Jun 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051014000071 | TX | Part B Supplier - Ambulance Service Supplier | 0345265708 | Practice locations: Mason, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 160003 | TX | Yes |
Addresses
Primary practice location
220 Moody
Mason, TX 76856
Mailing address
PO Box 96
Mason, TX 76856
Phone (325) 347-6593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000145501 | Medicaid | TX |
Other names
- Mason County
Other providers in Mason, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.