Active NPI
Stat Services of Jasper County a, LLP
- Ambulance
- Jasper, TX
National Provider Identifier
1992980411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 121101
- Legal business name
- STAT SERVICES OF JASPER COUNTY A, LLP
- Practice address
- 2418 N Wheeler St
Jasper, TX 75951-2115 - Phone
- (409) 833-3834
- Fax
- (409) 833-2060
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katherine B Carroll
- Title
- Director Billing/ Owner
- Phone
- (409) 833-3834
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 121101 | TX | Primary |
Addresses
Primary practice location
2418 N Wheeler St
Jasper, TX 75951-2115
Mailing address
PO Box 552
Beaumont, TX 77704-0552
Phone (409) 833-3834
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187748201 | Medicaid | TX | |
| GTPA1 | Other | TX | GTPA |
| AMB697 | Other | TX | BC/BS |
Other names 1
- Stat Care EMS
National Provider Directory
National Provider DirectoryLocations
2460 N Wheeler
Jasper, TX 75951
Phone (409) 833-3834
902 N Wheeler St
Ste 3
Jasper, TX 75951
Phone (409) 384-2074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1992980411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 552",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777040552",
"telephone_number": "409-833-3834",
"fax_number": "409-833-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 N WHEELER ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759512115",
"telephone_number": "409-833-3834",
"fax_number": "409-833-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT SERVICES OF JASPER COUNTY A, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR BILLING/ OWNER",
"authorized_official_telephone_number": "409-833-3834",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "121101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187748201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GTPA",
"identifier": "GTPA1",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "AMB697",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stat Care EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.