COUNTY OF SOMERVELL (NPI# 1912016106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912016106 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SOMERVELL |
| Other Organization Name | SOMERVELL COUNTY EMS |
| Practice Address |
111 Sheppard Street Glen Rose TX 76043 |
| Mailing Address |
Po Box 279 111 Sheppard Street Glen Rose TX 76043 |
| Practice Telephone | 2548972135 |
| Practice Fax Number | 2548974568 |
| Mailing Telephone | 2548972135 |
| Mailing Fax Number | 2548974568 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | WALTER MARION MAYNARD (COUNTY JUDGE) |
| Authorized Official Telephone | 2548972322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 213004 | TX | Emergency Medical Service Providers |
| N | 146M00000X | Emergency Medical Technician, Intermediate | 213004 | TX | Emergency Medical Service Providers |
| N | 146N00000X | Emergency Medical Technician, Basic | 213004 | TX | Emergency Medical Service Providers |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
213004 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00280460 | 01 |
| TX | TX DSHS EMS LICENSE# | 213004 | 01 |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | AMB792 | 01 |
| Other Name | Type Code |
|---|---|
| Somervell County EMS | Doing Business As Name - Organization |
| Street Address |
111 SHEPPARD STREET |
| City | GLEN ROSE |
| State | TX |
| Zip Code | 76043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1235620691 | Charis Psychological Services & Christian Counseling, Pllc | Psychologist | 1100 Fm 56, Glen Rose, TX 76043 | 2018-05-22 |
| 1801125646 | Melinda Gaye Lewis | Counselor | 1104 Hereford St, Glen Rose, TX 76043 | 2009-12-07 |
| 1528291614 | Angela Adams | Pharmacist | 906 N.e. Big Bend Trail, Glen Rose, TX 76043 | 2009-08-24 |
| 1386829281 | Mark Allen Fanning | Specialist/Technologist, Other | 408 Glennwood, Glenn Rose, TX 76043 | 2008-01-09 |
| 1124235353 | Glen Rose Isd | Local Education Agency (LEA) | 201 Allen Lane, Glen Rose, TX 76043 | 2007-05-17 |
| 1558495333 | Schmidt Medical Clinic, Pa | Family Medicine | 1008 N E Big Bend Trl, Glen Rose, TX 76043 | 2007-03-15 |
| 1386712701 | Best Value Pharmacies, Inc. | Pharmacy | 1100 Bluebonnet, Glen Rose, TX 76043 | 2006-12-01 |
| 1497831432 | C Jeffrey Bise | Counselor | 409 Glenwood St., Ste 500, Glen Rose, TX 76043 | 2006-10-31 |
| 1831100320 | First Lone Star Pharmacy Group,llc | Pharmacy | 906 N.e.big Bend Trail, Glen Rose, TX 76043 | 2006-08-10 |
| Find all providers in zip 76043 | ||||
| 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 |
|---|---|---|---|---|
| 1578163499 | Jewel Ambulance Service Inc | Ambulance | 6065 Hillcroft St Ste 327, Houston, TX 77081-1087 | 2020-10-29 |
| 1871190264 | Integrity Alliance Partners LLC | Ambulance | 933 Clubside Dr, Suite A, East Bernard, TX 77435 | 2020-10-08 |
| 1962010850 | Rapid Turtle LLC | Ambulance | 7411 Windsor View Dr, Spring, TX 77379-5373 | 2020-07-17 |
| 1033736962 | Duval County Emergency Service District # 1 | Ambulance | 1106 S Norton Ave, Freer, TX 78357-7835 | 2020-06-26 |
| 1467078816 | American Medical Response of Texas, Inc. | Ambulance | 521 N Sam Houston Ave, Odessa, TX 79761-4432 | 2020-06-22 |
| 1376169870 | Molentium Ems, Inc. | Ambulance | 2024 Naomi St, Houston, TX 77054-3821 | 2020-06-19 |
| 1528682481 | Missouri Health Services | Ambulance | 2440 Texas Pkwy Ste 370b, Missouri City, TX 77489-4000 | 2020-06-05 |
| 1275155699 | 1st Response LLC | Ambulance | 5408 E Loop 250 N Unit B, Midland, TX 79705-9319 | 2020-05-07 |
| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 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.