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KENDALL COUNTY NPI 1679594568


NPI Information

NPI: 1679594568
Provider Name: KENDALL COUNTY

Doing Business As: KENDALL COUNTY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D2110506

Address:
1175 N MAIN ST
BOERNE, TX
ZIP 78006
Phone: (830) 249-3721
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KENDALL COUNTY is a land transport ambulance in Boerne, TX. KENDALL COUNTY NPI is 1679594568. The provider is registered as an organization entity type.
The provider Is Doing Business As Kendall County Ems.

The provider's business location address is:

1175 N MAIN ST
BOERNE, TX
ZIP 78006-002
Phone: (830) 249-3721
Fax: (830) 249-7936

The provider's authorized official is Brian Webb .
The authorized official title is Ems Director and has the following contact phone number (830) 249-3721.

The CLIA number assigned to this NPI record is 45D2110506 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 5/16/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport130001TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1086502401MEDICAIDTEXAS
2504158OTHERTEXASBC/BS 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: 4/28/2024

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