MEDICARE: SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	105004	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590010570	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134279425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED

Provider Business Mailing Address
First Line	:	2061 CLOVIS BARKER RD BLDG 10-B
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-1073
Country	:	US
Telephone Number	:	512-353-5115
Fax Number	:	512-353-1491

Provider Business Practice Location Address
First Line	:	2061 CLOVIS BARKER
Second Line	:	BUILDING 10-B
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-1073
Country	:	US
Telephone Number	:	512-353-5115
Fax Number	:	512-353-1491

Authorized Official
Title or Position	:	CHIEF
Name	:	DAVID SMITH
Credential	:
Telephone Number	:	512-353-5115

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/23/2019

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