Organization Active NPI

Stat Services of Jefferson County a, LLP

  • Ambulance
  • Beaumont, TX
National Provider Identifier
1548244361
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
123036 Issued in TX
Legal business name
STAT SERVICES OF JEFFERSON COUNTY A, LLP
Doing business as
Stat Care EMS
Practice address
3720 Corley St
Beaumont, TX 77701-6431
Phone
(409) 833-3834
Fax
(409) 833-2060
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Kate Carroll
Title
Director Billing - Office Manager
Phone
(409) 833-3834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 123036 TX Primary

Addresses

Primary practice location

3720 Corley St
Beaumont, TX 77701-6431

Mailing address

PO Box 552
Beaumont, TX 77704-0552
Phone (409) 833-3834

Other identifiers 11

IdentifierTypeStateIssuer
GTPA1OtherTXTEXAN PLUS
18998OtherTXUSFHP TEXAS
80705OtherTXGREAT WEST
GTPA1OtherTXENCORE ENCORE
GTPA1OtherTXSELECT CARE OF TX
P00086266OtherRAILROAD MEDICARE
163505401MedicaidTX
GTPA1OtherTXSECURE HORIZONS
105453300OtherTXUS DEPT OF LABOR WC
1430324OtherTXTEXAS HEALTHSPRINGS
AMB699OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Stat Care EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1548244361",
    "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": "3720 CORLEY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777016431",
            "telephone_number": "409-833-3834",
            "fax_number": "409-833-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT SERVICES OF JEFFERSON COUNTY A, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR BILLING - OFFICE MANAGER",
        "authorized_official_telephone_number": "409-833-3834"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "123036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAN PLUS",
            "identifier": "GTPA1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USFHP TEXAS",
            "identifier": "18998",
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE OF TX",
            "identifier": "GTPA1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00086266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163505401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "GTPA1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "105453300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTHSPRINGS",
            "identifier": "1430324",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Care EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.