Organization Active NPI

Reeves County Emergency Services District No 2

Doing business as Reeves County ESD #2

  • Land Ambulance
  • Pecos, TX
National Provider Identifier
1972276830
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
REEVES COUNTY EMERGENCY SERVICES DISTRICT NO 2
Doing business as
Reeves County ESD #2
Practice address
2269 Ocotillo Dr
Pecos, TX 79772-7225
Phone
(432) 448-9713
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Michael Authement
Title
Chief of EMS
Phone
(432) 448-9713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2269 Ocotillo Dr
Pecos, TX 79772-7225

Mailing address

PO Box 181389
Dallas, TX 75218-8389

Other names 1

  • Reeves County ESD #2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107000496 TX Part B Supplier - Ambulance Service Supplier 8426449190 Practice locations: Pecos, TX

National Provider Directory

National Provider Directory

Locations

2269 Ocotillo Dr
Pecos, TX 79772
Phone (432) 448-9713

2269 Ocotillo Dr
#2
Pecos, TX 79772
Phone 9726022060463

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1972276830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181389",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752188389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 OCOTILLO DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727225",
            "telephone_number": "432-448-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES COUNTY EMERGENCY SERVICES DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "AUTHEMENT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "432-448-9713"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeves County ESD #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pecos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.