East Bernard Emergency Medical Services Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

241004 Issued in TX

Legal business name

EAST BERNARD EMERGENCY MEDICAL SERVICES INC

Practice address

103 Main Street
East Bernard, TX 77435-0612

Phone

(979) 335-6644

Fax

(979) 335-6544

NPI assigned

Jan 12, 2007

Last updated

Apr 1, 2011By 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

Mr. Jeffrey Allen Jasek, PARAMEDIC BILLING

Title

Deputy Director of EMS

Phone

(979) 335-6644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1417007188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "address_2": "103 MAIN ST",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774350612",
            "telephone_number": "979-335-6644",
            "fax_number": "979-335-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN STREET",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774350612",
            "telephone_number": "979-335-6644",
            "fax_number": "979-335-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BERNARD EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "JASEK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR OF EMS",
        "authorized_official_telephone_number": "979-335-6644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC BILLING"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "241004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Outlook Health
• Jaclyn Boettcher
• Cahrmc (Rice Medical Associates - E.B.)
• Daystar EMS Inc
• Dr. Farrell Family Practice
• East Bernard Isd
• East Bernard Primemed Clinic
• Eric S Kucera
• Everion RX
• Robert Michael Farrell, M.D.

• Public Health or Welfare Agency in East Bernard, TX
• Providers in East Bernard, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.