Active NPI
Stat Services of Jefferson County a, LLP
- Ambulance
- Beaumont, TX
National Provider Identifier
1548244361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 123036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GTPA1 | Other | TX | TEXAN PLUS |
| 18998 | Other | TX | USFHP TEXAS |
| 80705 | Other | TX | GREAT WEST |
| GTPA1 | Other | TX | ENCORE ENCORE |
| GTPA1 | Other | TX | SELECT CARE OF TX |
| P00086266 | Other | RAILROAD MEDICARE | |
| 163505401 | Medicaid | TX | |
| GTPA1 | Other | TX | SECURE HORIZONS |
| 105453300 | Other | TX | US DEPT OF LABOR WC |
| 1430324 | Other | TX | TEXAS HEALTHSPRINGS |
| AMB699 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Stat Care EMS
National Provider Directory
National Provider DirectoryNPI 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.