PADUCAH AMBULANCE SERVICE
NPI 1114355625
Ambulance in Paducah, TX

Active since October 18, 2013CLIA 45D2347120 · Waiver
808 10TH STREET, PADUCAH, TX 79248(806) 492-2336 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 12, 2024, Apr 13, 2020, Apr 6, 2020 (3 updates tracked since 2020).

About Paducah Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PADUCAH AMBULANCE SERVICE (NPI 1114355625) is a healthcare organization registered as an ambulance in Paducah, Texas and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Tana Jo Detwiler, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1114355625
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCOUNTY OF COTTLE
Location Address808 10TH STREETPaducah, TX 79248-0502
Mailing Address808 10th Street, Po Box 502Paducah, TX 79248-0502 · (806) 492-2336 · Fax (806) 492-2049
Organization SubpartNo
Authorized OfficialTana Jo DetwilerEms Director · (806) 492-2336
Enumeration DateOctober 18, 2013
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1114355625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in TX · 051002
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
808 10TH STREET, Paducah, TX 79248

Other Names 1

Doing Business AsPaducah Ambulance Service

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2347120

Cottle County Dba Paducah Ambulance Service · Paducah, TX
Active · expires Jul 12, 2028
CLIA Number45D2347120
Laboratory TypeAmbulance
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorTana J. Detwiler
Laboratory Phone(806) 492-2336
Laboratory LocationCottle County Dba Paducah Ambulance Service808 10th Street, Paducah, TX 79248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
698 services16 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Cottle's NPI number?

The NPI number for County Of Cottle is 1114355625. It was assigned to this organization in the NPPES registry on October 18, 2013. The provider is doing business as Paducah Ambulance Service.

Where is County Of Cottle located?

County Of Cottle is located at 808 10th Street, Paducah, TX 79248. The listed phone number is (806) 492-2336.

What is County Of Cottle's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does County Of Cottle hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2347120) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Cottle was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.