Active NPI
Wise County Emergency Medical Services
- Land Ambulance
- Decatur, TX
National Provider Identifier
1649273376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 249008
- Legal business name
- WISE COUNTY EMERGENCY MEDICAL SERVICES
- Practice address
- 400 W Walnut St
Decatur, TX 76234-1372 - Phone
- (940) 627-2002
- NPI assigned
- May 27, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Charles R Dillard
- Title
- Administrator
- Phone
- (940) 627-2002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 249008 | TX | Primary |
Addresses
Primary practice location
400 W Walnut St
Decatur, TX 76234-1372
Mailing address
400 W Walnut St
Decatur, TX 76234-1372
Phone (940) 627-2002
National Provider Directory
National Provider Directory- Tax ID family
- Wise County EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649273376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W WALNUT ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341372",
"telephone_number": "940-627-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W WALNUT ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341372",
"telephone_number": "940-627-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE COUNTY EMERGENCY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DILLARD",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "940-627-2002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "249008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, TX
- Wise Anesthesia, PA
- Wise CCC
- Wise Choices Pregnancy Resource Center
- Wise County Anesthesia Associates
- Wise County Committee on Aging ,Inc.
- Wise County Health Services (Wise Choice Medical)
- Wise County Medical & Surgical Association
- Wise County Medical & Surgical Association
- Wise Emergency Medicine Associates PA
- Wise Obstetrics & Gynecology PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.