Active NPI
Kendall County
- Land Ambulance
- Boerne, TX
National Provider Identifier
1679594568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 130001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504158 | Other | TX | BC/BS OF TEXAS |
| 086502401 | Medicaid | TX |
Other names 1
- Kendall County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050519001127 | TX | Part B Supplier - Ambulance Service Supplier | 3779524681 | Practice locations: Boerne, TX; Comfort, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2110506 | Kendall County EMS | Certificate of waiver | Mar 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.