NPIMap

Organization Active NPI

Booker Hospital District

Doing business as Booker EMS

  • Ambulance
  • Booker, TX
National Provider Identifier
1902180870
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000575 Issued in TX
Legal business name
BOOKER HOSPITAL DISTRICT
Doing business as
Booker EMS
Practice address
214 South Main
Booker, TX 79005
Phone
(806) 650-2366
Fax
(806) 650-2367
NPI assigned
Oct 10, 2011
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Jonathan Sell, EMT-P
Title
Director
Phone
(806) 650-2366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000575 TX Primary

Addresses

Primary practice location

214 South Main
Booker, TX 79005

Mailing address

PO Box 429
Booker, TX 79005-0429
Phone (806) 650-2366

Other names 1

  • Booker EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000721 TX Part B Supplier - Ambulance Service Supplier 1658408471 Practice locations: Booker, TX

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Teare Memorial Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crosbyton Nursing and Rehabilitation CenterCrosbyton, TX, CCN 675291 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2017
Apr 4, 2025
The Mildred & Shirley L. Garrison Geriatric Education & Care CtrLubbock, TX, CCN 675925 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Magnolia Crossing Nursing and Rehabilitation CenterHouston, TX, CCN 676333 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Dec 1, 2021
Feb 26, 2025
San Rafael Nursing and Rehabilitation CenterCorpus Christi, TX, CCN 675717 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2021
Valley Grande ManorWeslaco, TX, CCN 455621 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2021
Oak Park Nursing and Rehabilitation CenterSan Antonio, TX, CCN 455789 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2022
Amarillo Medical LodgeAmarillo, TX, CCN 675282 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2023
Teare Memorial ClinicBooker, TX, CCN 458974 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1991

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1902180870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "BOOKER",
            "state": "TX",
            "postal_code": "790050429",
            "telephone_number": "806-650-2366",
            "fax_number": "806-650-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SOUTH MAIN",
            "city": "BOOKER",
            "state": "TX",
            "postal_code": "79005",
            "telephone_number": "806-650-2366",
            "fax_number": "806-650-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOKER HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-650-2366",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Booker EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Booker, TX

Sources for this page

Verify at the official NPI Registry.