Matagorda County EMS I, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800070 Issued in TX

Legal business name

MATAGORDA COUNTY EMS I, LLC

Doing business as

Matagorda County EMS

Practice address

2900 Hamman Rd
Bay City, TX 77414-8622

Phone

(979) 244-5568

NPI assigned

Aug 29, 2006

Last updated

Oct 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Farris

Title

Exec. Director

Phone

(409) 289-0074

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Matagorda County EMS Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1407964422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22578",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777202578",
            "telephone_number": "409-812-1017",
            "fax_number": "866-206-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HAMMAN RD",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774148622",
            "telephone_number": "979-244-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA COUNTY EMS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "409-289-0074"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AMB798",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179300201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matagorda County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David Alexander Maclennan, DC
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• Matagorda County Hospital District (Matagorda General Hospital)
• Matagorda County Hospital District (Matagorda Regional Medical Center)
• Matagorda County Hospital District (Matagorda Regional Medical Center)
• Matagorda County Hospital District (Matagorda General Hospital)
• Matagorda County Hospital District (Matagorda Regional Medical Center)

• Land Ambulance in Bay City, TX
• Providers in Bay City, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.