Williams a Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

800018 Issued in TX

Legal business name

WILLIAMS A AMBULANCE, INC.

Practice address

3863 Stagg Dr
Beaumont, TX 77701-3717

Phone

(409) 833-3834

Fax

(409) 833-2060

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Katherine Carroll

Title

Director Billing

Phone

(409) 833-3834

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Stat Care EMS Doing business as

Locations

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1477537223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777040552",
            "telephone_number": "409-833-3834",
            "fax_number": "409-833-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013717",
            "telephone_number": "409-833-3834",
            "fax_number": "409-833-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS A AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR BILLING",
        "authorized_official_telephone_number": "409-833-3834"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "800018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAN PLUS",
            "identifier": "GTPA1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR WC",
            "identifier": "182096700",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000367501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTHSPRING",
            "identifier": "1430121",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USFHP TEXAS",
            "identifier": "4625",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "514211",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "590008601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "80705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENCORE ENCORE",
            "identifier": "GTPA1",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Care EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Wilhelm
• Diane R Wilhite, PH.D.
• Megan Willette
• William a. Fawcett, IV, MD
• William L High MD PA
• Williams Healthcare
• Abraham Williams, DO
• Amanthia Peace Williams, PEDORTHIST
• Andrea Denise Williams
• Austin Kyle Williams, M.D.

• Ambulance in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.