Kimble County

Primary specialty

AmbulanceTaxonomy code 341600000X

License

134001 Issued in TX

Legal business name

KIMBLE COUNTY

Practice address

151 Hospital Drive
Junction, TX 76849

Phone

(325) 446-3300

Fax

(325) 446-4665

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Ted Spencer Sandlin

Title

Director

Phone

(325) 446-3300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimble County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1811075138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HOSPITAL DRIVE",
            "city": "JUNCTION",
            "state": "TX",
            "postal_code": "76849",
            "telephone_number": "325-446-3300",
            "fax_number": "325-446-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HOSPITAL DRIVE",
            "city": "JUNCTION",
            "state": "TX",
            "postal_code": "76849",
            "telephone_number": "325-446-3300",
            "fax_number": "325-446-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBLE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "325-446-3300"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "137001",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "134001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086400101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimble County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hill Country DC PLLC
• Jay Jackson, MD
• Jennifer Artemis Johnson, PA
• Junction Isd
• Junction Long Term Care, LLC
• Kimble County Hospital District
• Kimble County Hospital District
• Kimble County Hospital District
• Kimble County Hospital District
• Kimble County Meals on Wheels

• All providers in Junction, TX
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.