Wilson County Emergency Services District 4

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WILSON COUNTY EMERGENCY SERVICES DISTRICT 4

Doing business as

Wilson County ESD 4

Practice address

1402 Hospital Blvd
Floresville, TX 78114

Phone

(830) 393-3120

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Johnson

Title

EMS Director

Phone

(830) 393-3120

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wilson County ESD 4 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

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1588261820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 HOSPITAL BLVD",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "78114",
            "telephone_number": "830-393-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 HOSPITAL BLVD",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "78114",
            "telephone_number": "830-393-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY EMERGENCY SERVICES DISTRICT 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "830-393-3120"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1001041",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588261820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson County ESD 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dianne Wiatrek, MA-CCC-SLP
• Joy Wiatrek, OTR
• Robin L Wilhoit, RN, BSN
• Wilson County Chiropractic
• Wilson County Emergency Services District 2
• Wilson County Memorial Hospital District
• Wilson County Memorial Hospital District (Connally Memorial Home Health)
• Wilson County Memorial Hospital District (Connally Memorial Health Centers Main)
• Wilson County Memorial Hospital District (Connally Memorial Health Centers North Campus)
• Wilson County Memorial Hospital District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.