Organization Active NPI

St Jude EMS, Inc.

  • Ambulance
  • Houston, TX
National Provider Identifier
1437396199
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000200 Issued in TX
Legal business name
ST JUDE EMS, INC.
Practice address
8230 Bonner Dr
Houston, TX 77017-4704
Phone
(281) 658-3990
Fax
(713) 454-0303
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Mr. Manuel Perales Jr.
Title
Owner
Phone
(281) 658-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000200 TX Primary

Addresses

Primary practice location

8230 Bonner Dr
Houston, TX 77017-4704

Mailing address

8230 Bonner Dr
Houston, TX 77017-4704
Phone (281) 658-3990

Other identifiers 1

IdentifierTypeStateIssuer
AMB810OtherTXMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1437396199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BONNER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770174704",
            "telephone_number": "281-658-3990",
            "fax_number": "713-454-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BONNER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770174704",
            "telephone_number": "281-658-3990",
            "fax_number": "713-454-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-658-3990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "AMB810",
            "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, 2009; 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.