COUNTY OF SOMERVELL NPI 1912016106

NPI Information

NPI: 1912016106
Provider Name: COUNTY OF SOMERVELL

Doing Business As: SOMERVELL COUNTY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
111 SHEPPARD STREET
GLEN ROSE, TX
ZIP 76043
Phone: (254) 897-2135
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COUNTY OF SOMERVELL is a land transport ambulance in Glen Rose, TX. COUNTY OF SOMERVELL NPI is 1912016106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Somervell County Ems.

The provider's business location address is:

111 SHEPPARD STREET
GLEN ROSE, TX
ZIP 76043
Phone: (254) 897-2135
Fax: (254) 897-4568

The provider's authorized official is Walter Marion Maynard .
The authorized official title is County Judge and has the following contact phone number (254) 897-2322.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		213004	TEXAS	No
2	146M00000X	Emergency Medical Technician, Intermediate		213004	TEXAS	No
3	146N00000X	Emergency Medical Technician, Basic		213004	TEXAS	No
4	3416L0300X	Ambulance	Land Transport	213004	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AMB438	MEDICARE PIN	TEXAS
2	P00280460	OTHER	TEXAS	RAILROAD MEDICARE
3	213004	OTHER	TEXAS	TX DSHS EMS LICENSE#
4	AMB792	OTHER	TEXAS	BLUE CROSS BLUE SHIELD OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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