CITIZENS EMERGENCY MEDICAL SERVICE (NPI# 1558411728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558411728 |
| Entity Type | Organization |
| Organization Name | CITIZENS EMERGENCY MEDICAL SERVICE |
| Practice Address |
815 South 2nd Clyde TX 79510 |
| Mailing Address |
Po Box 1556 Clyde TX 79510-1556 |
| Practice Telephone | 3258935754 |
| Practice Fax Number | 3258934127 |
| Mailing Telephone | 3258935754 |
| Mailing Fax Number | 3258934127 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGO NICOLLE STAFFORD (EMS DIRECTOR) |
| Authorized Official Telephone | 3254395150 |
| Authorized Official Credential | LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 030001 | TX | Emergency Medical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITIZENS EMERGENCY MEDICAL SERVICE INC | 815 S 2nd St, Clyde, TX 79510-4450 |
| Street Address |
815 SOUTH 2ND |
| City | CLYDE |
| State | TX |
| Zip Code | 79510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093114688 | Rebecca A. Schowengerdt | Physician Assistant | 1712 N Access Road, Clyde, TX 79510 | 2014-08-19 |
| 1134425986 | Kameko Hazley Mcguire | Nurse Practitioner | 1712 N. Access Rd, Clyde, TX 79510 | 2011-01-26 |
| 1861680886 | Clyde Cons Isd | Local Education Agency (LEA) | 526 Shalimar, Clyde, TX 79510 | 2007-10-04 |
| 1003020058 | William Michael Walton | Dentist | 113 Hunt Street, Clyde, TX 79510 | 2007-05-09 |
| 1578552857 | Trudy Lennette Smith | Physician Assistant | 1712 North Access Road, Clyde, TX 79510 | 2005-10-19 |
| 1215205265 | Shackelford County Community Resource Center | Clinic/Center | 1712 North Access Road, Clyde, TX 79510 | 2011-12-06 |
| 1669775102 | Martin D Gonzalez | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510 | 2010-12-06 |
| 1982642708 | Katherine Jean Robinson | Physician Assistant | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-03 |
| 1023056272 | Billy W. Carpenter | Family Medicine | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-02 |
| 1407960180 | Citizens Emergency Medical Service Inc. | Ambulance | 815 S. Second, Clyde, TX 79510-0000 | 2006-08-18 |
| Find all providers in zip 79510 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868896 | Capitol Medical Service, LLC | Emergency Medical Technician, Paramedic | 1107 River Ridge Dr, Austin, TX 78732-6133 | 2020-10-09 |
| 1699389544 | Kevin Nichols | Emergency Medical Technician, Paramedic | 8004 Lanham Ln, Houston, TX 77075-2653 | 2020-09-08 |
| 1952915373 | Evan J Bradley | Emergency Medical Technician, Paramedic | 11504 Arbroath Ln, Austin, TX 78754-5958 | 2020-09-02 |
| 1427669183 | Crystal Lane King | Emergency Medical Technician, Paramedic | 736 Lake Carolyn Pkwy Apt 146w, Irving, TX 75039-3995 | 2020-08-14 |
| 1023636297 | Erik Michael Hassan | Emergency Medical Technician, Paramedic | 22607 Coriander Dr, Katy, TX 77450-1523 | 2020-07-13 |
| 1992323448 | Ricardo Valentin Aldape | Emergency Medical Technician, Paramedic | 3902 Ashwood Dr, Pearland, TX 77584-9200 | 2020-07-10 |
| 1982234852 | Adriana Benson | Emergency Medical Technician, Paramedic | 2408 E 20th St, Mission, TX 78572-3389 | 2020-01-20 |
| 1497395008 | Keith Dean Drake | Emergency Medical Technician, Paramedic | 12609 Javea Dr, Austin, TX 78739-1541 | 2020-01-11 |
| 1689237810 | Samantha A Stockreef | Emergency Medical Technician, Paramedic | 906 N Old Robinson Rd, Robinson, TX 76706-5237 | 2019-04-14 |
| 1144715269 | Zachary Yancey Paul | Emergency Medical Technician, Paramedic | 1716 Hal Ave, Cleburne, TX 76031-7614 | 2018-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.