NPIMap

Organization Active NPI

Martin County Hospital District

Doing business as Martin County EMS

  • Ambulance
  • Stanton, TX
National Provider Identifier
1679060909
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
159001 Issued in TX
Legal business name
MARTIN COUNTY HOSPITAL DISTRICT
Doing business as
Martin County EMS
Practice address
1101 West Broadway
Stanton, TX 79782
Phone
(432) 607-2230
Fax
(432) 607-2232
NPI assigned
Apr 23, 2018
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MARTIN COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Nancy Cooke
Title
Ceo
Phone
(432) 607-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 159001 TX Primary

Addresses

Primary practice location

1101 West Broadway
Stanton, TX 79782

Mailing address

PO Box 640
Stanton, TX 79782-0640
Phone (432) 607-2230

Other identifiers 1

IdentifierTypeStateIssuer
136145303MedicaidTX

Other names 1

  • MARTIN COUNTY EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817000523 TX Part B Supplier - Ambulance Service Supplier 8527958552 Practice locations: Stanton, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Martin County Hospital District3 organizations share this tax ID, including this one
Part of
Martin County Hospital District

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Martin County Hospital DistrictStanton, TX, CCN 451333 Hospital Operational/Managerial Control Jan 1, 1966
Martin County Hospital DistrictStanton, TX, CCN 45Z333 Hospital Operational/Managerial Control Jan 1, 1966
Martin County Home HealthStanton, TX, CCN 678485 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2018
Aug 1, 2018
Martin County Family Clinic and Express CareStanton, TX, CCN 458868 Rural health clinic 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 Dec 1, 2004
Dec 1, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1679060909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "STANTON",
            "state": "TX",
            "postal_code": "797820640",
            "telephone_number": "432-607-2230",
            "fax_number": "432-607-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEST BROADWAY",
            "city": "STANTON",
            "state": "TX",
            "postal_code": "79782",
            "telephone_number": "432-607-2230",
            "fax_number": "432-607-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-607-3200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "159001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136145303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, TX

Sources for this page

Verify at the official NPI Registry.