Active NPI
St. Joseph'S Ambulance Service, Inc.
- Land Ambulance
- Houston, TX
National Provider Identifier
1407872856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101408
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000MDXO | Other | TX | BLUE CROSS/BLUE SHIELD |
| 167195001 | Medicaid | TX | |
| P00163859 | Other | TX | RAILROAD MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040817000680 | TX | Part B Supplier - Ambulance Service Supplier | 8527031616 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
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
- St. Johns Physician Associates, P.a.
- St. Joseph Dermatopathology, P.a.
- St. Joseph Dermatopathology, P.a.
- St. Joseph Diagnostic Clinic, Inc.
- St. Joseph Prof. Pharmacy, Inc.
- St. Jude Dental P.C
- Trennessa St. Julien
- Matthew J St. Laurent, MD
- Melanie E St. Laurent, NP
- St. Luke'S Ambulance Services, Inc.
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.