Organization Active NPI

Marble Falls Area Emergency Medical Services Inc

Doing business as Marble Falls Area EMS

  • Ambulance
  • Marble Falls, TX
National Provider Identifier
1780605311
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
27003 Issued in TX
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000136401MedicaidTX
506835OtherTXBC/BS OF TEXAS
P00172965OtherRAILROAD MEDICARE
1780605311OtherTXTRICARE

Other names 1

  • Marble Falls Area EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
45D1025379Marble Falls Area EMS Inc609 Industrial Blvd, Marble Falls, TX 78654Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.