Organization
ST. JOSEPH'S AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA JEA WEHMEYER (GENERAL MANAGER)
(346) 483-0072
Entity
Organization
Contact information
Practice address
1100 HERCULES AVE STE 315, HOUSTON, TX 77058-2797
(346) 483-0072
(346) 483-0082
Mailing address
P.O. BOX 891449, HOUSTON, TX 77289-1449
(281) 286-6331
(281) 922-4234
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000MDXO
BLUE CROSS/BLUE SHIELD
TX
05
—
167195001
—
TX
01
—
P00163859
RAILROAD MEDICAID
TX
Enumeration date
07/15/2006
Last updated
06/10/2024
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