Organization Active NPI

St. Joseph'S Ambulance Service, Inc.

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1407872856
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101408 Issued in TX
Legal business name
ST. JOSEPH'S AMBULANCE SERVICE, INC.
Practice address
1100 Hercules Ave Ste 315
Houston, TX 77058-2797
Phone
(346) 483-0072
Fax
(346) 483-0082
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mrs. Jessica Jea Wehmeyer
Title
General Manager
Phone
(346) 483-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101408 TX Primary

Addresses

Primary practice location

1100 Hercules Ave Ste 315
Houston, TX 77058-2797

Mailing address

P.O. Box 891449
Houston, TX 77289-1449
Phone (281) 286-6331

Other identifiers 3

IdentifierTypeStateIssuer
00000MDXOOtherTXBLUE CROSS/BLUE SHIELD
167195001MedicaidTX
P00163859OtherTXRAILROAD MEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000680 TX Part B Supplier - Ambulance Service Supplier 8527031616 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1100 Hercules Ave
Ste 315
Houston, TX 77058
Phone (281) 280-0083

15255 Gulf Fwy
Ste 145D
Houston, TX 77034
Phone (281) 922-5116

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1407872856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 891449",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772891449",
            "telephone_number": "281-286-6331",
            "fax_number": "281-922-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HERCULES AVE STE 315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582797",
            "telephone_number": "346-483-0072",
            "fax_number": "346-483-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "WEHMEYER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JEA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "346-483-0072",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00000MDXO",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167195001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAID",
            "identifier": "P00163859",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.