Willowbrook EMS Group Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

800035 Issued in TX

Legal business name

WILLOWBROOK EMS GROUP INC

Doing business as

Willowbrook EMS

Practice address

519 N Sam Houston Pkwy E Ste 430
Houston, TX 77060-4136

Phone

(281) 469-1551

Fax

(888) 887-4985

NPI assigned

Jun 14, 2006

Last updated

Nov 4, 2024By 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. Clercy GainesNPI 1265731269

Title

Owner

Phone

(281) 469-1551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willowbrook EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clercy Gaines

  • Contractor
  • Houston, TX
  • NPI 1265731269
  NPD Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1467495739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604136",
            "telephone_number": "281-469-1551",
            "fax_number": "888-887-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604136",
            "telephone_number": "281-469-1551",
            "fax_number": "888-887-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK EMS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "CLERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-469-1551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willowbend Pharma Select LLC
• Willowbrook Ambulatory Surgery Center LP
• Willowbrook Cardiovascular Associates, P.a.
• Willowbrook Dialysis Center LP (Willowbrook Dialysis)
• Willowbrook EMS
• Willowbrook Eye Associates PLLC
• Willowbrook Imaging LLC
• Willowbrook Infusion Center, PA
• Willowbrook Mall Dental
• Willowbrook MRI

• Land Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.