Stamford EMS, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

127004 Issued in TX

Legal business name

STAMFORD EMS, INC

Practice address

301 E Hamilton St
Stamford, TX 79553-4721

Phone

(972) 650-0953

Fax

(972) 650-2033

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Prof. Jeanette Brister, MANAGER

Title

Claims Manager

Phone

(972) 650-0953

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• STAMFORD EMS,INC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Philip Jason Smith, FNP

  • Family Nurse Practitioner
  • Haskell, TX
  • NPI 1619750320
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1366563090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E HAMILTON ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795534721",
            "telephone_number": "972-650-0953",
            "fax_number": "972-650-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E HAMILTON ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795534721",
            "telephone_number": "972-650-0953",
            "fax_number": "972-650-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "BRISTER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "972-650-0953",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "127004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000487101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE LAND",
            "identifier": "0000516012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAMFORD EMS,INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenn McCarthy-Blundin Prichard, LMFT-ASSOCIATE
• Cali Rose, M.S., CCC-SLP
• Sagebrush Living Center LTD
• Celina Alysse Serfontein, M.S., CCC-SLP
• Shaughn T. SMS D.C., P. C.
• Stamford Healthcare Management LLC
• Stamford Hospital District
• Stamford Hospital District
• Stamford Hospital District
• Stamford Hospital District

• Land Ambulance in Stamford, TX
• Providers in Stamford, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.