Organization Active NPI

Kendall County

  • Land Ambulance
  • Boerne, TX
National Provider Identifier
1679594568
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
130001 Issued in TX
Legal business name
KENDALL COUNTY
Doing business as
Kendall County EMS
Practice address
1175 N Main St
Boerne, TX 78006-3002
Phone
(830) 249-3721
Fax
(830) 249-7936
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Brian Webb
Title
EMS Director
Phone
(830) 249-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 130001 TX Primary

Addresses

Primary practice location

1175 N Main St
Boerne, TX 78006-3002

Mailing address

7900 NW 154TH St Ste 201
Miami Lakes, FL 33016-5816
Phone (888) 987-6179

Other identifiers 2

IdentifierTypeStateIssuer
504158OtherTXBC/BS OF TEXAS
086502401MedicaidTX

Other names 1

  • Kendall 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
O20050519001127 TX Part B Supplier - Ambulance Service Supplier 3779524681 Practice locations: Boerne, TX; Comfort, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2110506Kendall County EMS1175 N Main, Boerne, TX 78006Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

1175 N Main St
Boerne, TX 78006
Phone (830) 249-3721

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1679594568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 154TH ST STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165816",
            "telephone_number": "888-987-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 N MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063002",
            "telephone_number": "830-249-3721",
            "fax_number": "830-249-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "830-249-3721"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "130001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "504158",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086502401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kendall County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.