NPIMap

Organization Active NPI

King County EMS, Inc.

  • Land Ambulance
  • Guthrie, TX
National Provider Identifier
1396896429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
135002 Issued in TX
Legal business name
KING COUNTY EMS, INC.
Practice address
800 S Baker Street
Guthrie, TX 79236-0111
Phone
(806) 596-4111
Fax
(806) 596-4044
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Bradbury, EMT-B
Title
Co-Director
Phone
(806) 596-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 135002 TX Primary

Addresses

Primary practice location

800 S Baker Street
Guthrie, TX 79236-0111

Mailing address

P.O. Box 111
800 S Baker Street
Guthrie, TX 79236-0111
Phone (806) 596-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114002187 TX Part B Supplier - Ambulance Service Supplier 9133610462 Practice locations: Guthrie, TX

National Provider Directory

National Provider Directory
Tax ID family
King County EMS Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396896429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 111",
            "address_2": "800 S BAKER STREET",
            "city": "GUTHRIE",
            "state": "TX",
            "postal_code": "792360111",
            "telephone_number": "806-596-4111",
            "fax_number": "806-596-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BAKER STREET",
            "city": "GUTHRIE",
            "state": "TX",
            "postal_code": "792360111",
            "telephone_number": "806-596-4111",
            "fax_number": "806-596-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "806-596-4111",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "135002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, TX

Sources for this page

  • 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.
  • 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.