San Augustine City County Hospital District
Organization Active NPI Land Ambulance · San Augustine, TX
NPI 1730428152 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1730428152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- PROVISIONAL (TX)
- Legal business name
- SAN AUGUSTINE CITY COUNTY HOSPITAL DISTRICT
- Practice address
- 208 Maple St
San Augustine, TX 75972-2320 - Phone
- (936) 288-0027
- NPI assigned
- Feb 5, 2013
- Organization subpart
- No
Authorized official
- Name
- M. Jean Hines
- Title
- Administrator
- Phone
- (936) 275-6001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130607000396 | TX | Part B Supplier - Ambulance Service Supplier | 6002054749 | Practice locations: San Augustine, TX |
National Provider Directory
Locations
208 Maple St
San Augustine, TX 75972
Phone (936) 288-0027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | PROVISIONAL | TX | Yes |
Addresses
Primary practice location
208 Maple St
San Augustine, TX 75972-2320
Mailing address
PO Box 114
San Augustine, TX 75972-0114
Phone (936) 288-0027
Other names
- San Augustine County EMS
Other providers in San Augustine, TX
- Sharon Kay Oglesbee
- Curtis Leon Pillow Jr.
- Raishaun Evett Randle
- Shea V Reese
- Republic of Texas Inpatient Services PLLC
- San Augustine Family Practice PA
- San Augustine Isd
- San Augustine Management LLC
- San Augustine Pharmacy1St LLC
- Malaika Ilene Sigler
All providers in San Augustine, TX · Land Ambulance in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.