West Coke County Emergency Medical Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

041002 Issued in TX

Legal business name

WEST COKE COUNTY EMERGENCY MEDICAL SERVICE

Practice address

801 North Hwy 208
Robert Lee, TX 76945

Phone

(325) 224-3047

Fax

(325) 224-4327

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Stephen J Salmon

Title

EMS Director

Phone

(325) 224-3047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Coke County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Ann McGuire, FNP-BC

  • Family Nurse Practitioner
  • Robert Lee, TX
  • NPI 1174204226
  NPD

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1790780252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTH HWY 208",
            "city": "ROBERT LEE",
            "state": "TX",
            "postal_code": "76945",
            "telephone_number": "325-224-3047",
            "fax_number": "325-224-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COKE COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "325-224-3047"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "041002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567448-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coke County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juanita A Brown
• Tabitha Humphries, PTA
• Rebecca Ann McGuire, FNP-BC
• Maria Pamela Samonte Navidad
• Robert Lee Access Clinic PLLC
• West Coke County Hospital District

• All providers in Robert Lee, TX
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.