Organization Active NPI

Stat Services of Jasper County a, LLP

  • Ambulance
  • Jasper, TX
National Provider Identifier
1992980411
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
121101 Issued in TX
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

Updated by the provider on Jun 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
187748201MedicaidTX
GTPA1OtherTXGTPA
AMB697OtherTXBC/BS

Other names 1

  • Stat Care EMS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.