Active NPI
Marble Falls Area Emergency Medical Services Inc
Doing business as Marble Falls Area EMS
- Ambulance
- Marble Falls, TX
National Provider Identifier
1780605311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 27003
- Legal business name
- MARBLE FALLS AREA EMERGENCY MEDICAL SERVICES INC
- Doing business as
- Marble Falls Area EMS
- Practice address
- 609 Industrial Blvd
Marble Falls, TX 78654-4739 - Phone
- (830) 693-7277
- Fax
- (830) 693-3644
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 16, 2016
- 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
- Johnny Campbell
- Title
- EMS Administrator
- Phone
- (830) 693-7277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 27003 | TX | Primary |
Addresses
Primary practice location
609 Industrial Blvd
Marble Falls, TX 78654-4739
Mailing address
609 Industrial Blvd
Marble Falls, TX 78654-4739
Phone (830) 693-7277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000136401 | Medicaid | TX | |
| 506835 | Other | TX | BC/BS OF TEXAS |
| P00172965 | Other | RAILROAD MEDICARE | |
| 1780605311 | Other | TX | TRICARE |
Other names 1
- Marble Falls Area 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 |
|---|---|---|---|---|
| O20050119000407 | TX | Part B Supplier - Ambulance Service Supplier | 1759330517 | Practice locations: Granite Shoals, TX; Horseshoe Bay, TX; Marble Falls, TX; Spicewood, 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 |
|---|---|---|---|
| 45D1025379 | Marble Falls Area EMS Inc | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
8410 W FM 1431
Granite Shoals, TX 78654
Phone (830) 693-7277
1 Community Dr
Horseshoe Bay, TX 78657
Phone (830) 693-7277
407 Main St
Ste 3
Marble Falls, TX 78654
Phone (830) 693-2027
609 Industrial Blvd
Marble Falls, TX 78654
Phone (830) 693-7277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1780605311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 INDUSTRIAL BLVD",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786544739",
"telephone_number": "830-693-7277",
"fax_number": "830-693-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 INDUSTRIAL BLVD",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786544739",
"telephone_number": "830-693-7277",
"fax_number": "830-693-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARBLE FALLS AREA EMERGENCY MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JOHNNY",
"authorized_official_title_or_position": "EMS ADMINISTRATOR",
"authorized_official_telephone_number": "830-693-7277"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "27003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000136401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "506835",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00172965",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1780605311",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marble Falls Area EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marble Falls, TX
- Lone Star Circle of Care (Lone Star Circle of Care at Marble Falls)
- Melia Marie Lucero
- Main Street Dental Center
- Make Today Count Inc
- Umavathy Manoharan, MD
- Marble Falls ASC LLC
- Marble Falls Family Dental PLLC
- Marble Falls Imaging Center LP
- Marble Falls Independent School District
- Marble Falls Pediatric Dentistry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.