J & C Dickerson Investment Group Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000026 Issued in TX

Legal business name

J & C DICKERSON INVESTMENT GROUP INC.

Doing business as

Premium Care EMS

Practice address

7902 Brookfield St
Baytown, TX 77520-0737

Phone

(281) 573-4759

Fax

(713) 669-1091

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Joe Dickerson Jr.

Title

Director

Phone

(281) 303-8500

Specialties & licenses 1

Addresses

Other names 1

• Premium Care EMS Doing business as

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1588875280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2593",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775222593",
            "telephone_number": "281-303-8500",
            "fax_number": "281-303-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 BROOKFIELD ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775200737",
            "telephone_number": "281-573-4759",
            "fax_number": "713-669-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & C DICKERSON INVESTMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-303-8500",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Care EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.