Wilson County Emergency Services District 3

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000937 Issued in TX

Legal business name

WILSON COUNTY EMERGENCY SERVICES DISTRICT 3

Practice address

111 S Hwy 123 N
Stockdale, TX 78160

Phone

(830) 996-3087

Fax

(830) 996-1607

NPI assigned

Jan 8, 2015

Last updated

Jan 6, 2017By 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

David W Rice Jr.

Title

Authorized Official

Phone

(830) 391-3448

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1487042727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S HWY 123 N",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "78160",
            "telephone_number": "830-996-3087",
            "fax_number": "830-996-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY EMERGENCY SERVICES DISTRICT 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "830-391-3448",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478190-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478190-02 CSHCN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stockdale Isd
• Stockdale TX SNF Management LLC (Stockdale Residence and Rehabilitation Center)
• Stockdale Volunteer Ambulance Service
• Miranda Keri Velasquez, LMFT, LCDC
• Tiffany Jo Williams, RN
• Mandy R Wright, FNP
• Sandra Kay Wright, APRN, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.