Active NPI
Comal County Emergency Services District 2
- Land Ambulance
- Canyon Lake, TX
National Provider Identifier
1609296805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000921
- Legal business name
- COMAL COUNTY EMERGENCY SERVICES DISTRICT 2
- Practice address
- 1074 Scissortail
Canyon Lake, TX 78133-4123 - Phone
- (803) 907-2922
- Fax
- (830) 907-2923
- NPI assigned
- Apr 26, 2014
- 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
- Angela Hemphill
- Title
- Manager
- Phone
- (830) 907-2922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000921 | TX | Primary |
Addresses
Primary practice location
1074 Scissortail
Canyon Lake, TX 78133-4123
Mailing address
PO Box 2140
Canyon Lake, TX 78133-0024
Phone (830) 907-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140529000182 | TX | Part B Supplier - Ambulance Service Supplier | 6406079052 | Practice locations: Canyon Lake, TX |
National Provider Directory
National Provider DirectoryLocations
1074 Scissortail
Canyon Lake, TX 78133
Phone (830) 907-2922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398470400000",
"number": "1609296805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2140",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781330024",
"telephone_number": "830-907-2922",
"fax_number": "803-907-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 SCISSORTAIL",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781334123",
"telephone_number": "803-907-2922",
"fax_number": "830-907-2923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMAL COUNTY EMERGENCY SERVICES DISTRICT 2",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-26",
"last_updated": "2014-04-26",
"status": "A",
"authorized_official_last_name": "HEMPHILL",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "830-907-2922"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2014; 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.