WISE COUNTY EMERGENCY MEDICAL SERVICES (NPI# 1649273376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273376 |
| Entity Type | Organization |
| Organization Name | WISE COUNTY EMERGENCY MEDICAL SERVICES |
| Practice Address |
400 W Walnut St Decatur TX 76234-1372 |
| Practice Telephone | 9406272002 |
| Mailing Telephone | 9406272002 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES R DILLARD (ADMINISTRATOR) |
| Authorized Official Telephone | 9406272002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
249008 | TX | Transportation Services |
| Street Address |
400 W WALNUT ST |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747064 | Nicole Ann Harper | Ambulance | 4319 Covington Hwy Ste 102, Decatur, GA 30035-1206 | 2019-06-02 |
| 1275031668 | Advanced Medical Transport LLC | Ambulance | 3797 London Dr, Decatur, GA 30032-2367 | 2018-01-31 |
| 1912413212 | First Care Ems Co | Ambulance | 2785 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2515 | 2017-12-21 |
| 1043560584 | Select Choice LLC | Ambulance | 2426 Park Central Blvd, Decatur, GA 30035-3901 | 2012-09-12 |
| 1275806648 | Healthcare Investment Group Inc. | Ambulance | 1502 Central Parkway Sw, Suite A, Decatur, AL 35601-4846 | 2012-02-16 |
| 1578648952 | Med-call Ambulance Service | Ambulance | 1414 7th Ave Se Ste B, Decatur, AL 35601-4256 | 2006-10-26 |
| 1174513485 | Decatur Ambulance Service, Inc. | Ambulance | 417 W Wood St, Decatur, IL 62522-3109 | 2005-10-27 |
| 1902800527 | County of Meigs | Ambulance | 14816 State Highway 58 S, Decatur, TN 37322-5248 | 2005-06-10 |
| 1265032023 | United Ambulance Services LLC | Ambulance | 4319 Covington Hwy Ste 102, Decatur, GA 30035-1206 | 2020-10-29 |
| 1457997538 | Accompany Medical Response Co | Ambulance | 5036 Snapfinger Woods Dr, Decatur, GA 30035-4064 | 2019-11-22 |
| Find all providers in DECATUR | ||||
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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.