Stockdale Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

247004 Issued in TX

Legal business name

STOCKDALE VOLUNTEER AMBULANCE SERVICE

Practice address

111 Hwy 123 North
Stockdale, TX 78160

Phone

(830) 996-3087

Fax

(210) 653-8168

NPI assigned

Jan 2, 2007

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Rice, EMT

Title

President

Phone

(830) 996-3087

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• STOCKDALE EMS Other name

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1750448379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781600341",
            "telephone_number": "830-996-3087",
            "fax_number": "210-653-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HWY 123 NORTH",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "78160",
            "telephone_number": "830-996-3087",
            "fax_number": "210-653-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKDALE VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-996-3087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "247004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "086525501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFED",
            "identifier": "504301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST",
            "identifier": "086525501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086525501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "504301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "590008248",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOCKDALE EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cecelia A Kothmann, FNP
• Tara Kvanvig-Garza, LPC
• Small Town Medical Solutions LLC
• Stockdale Isd
• Stockdale TX SNF Management LLC (Stockdale Residence and Rehabilitation Center)
• Miranda Keri Velasquez, LMFT, LCDC
• Tiffany Jo Williams, RN
• Wilson County Emergency Services District 3
• Mandy R Wright, FNP
• Sandra Kay Wright, APRN, FNP

• Land Ambulance in Stockdale, TX
• Providers in Stockdale, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.