PADUCAH AMBULANCE SERVICE
NPI 1114355625
Ambulance in Paducah, TX

Q: 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.

Q: What is County Of Cottle's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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

Phone(806) 492-2336

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

Open in Google Maps ↗

Other Names 1

Doing Business AsPaducah Ambulance Service

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paducah Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20040607000974Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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.

Is County Of Cottle enrolled in Medicare?

Yes. County Of Cottle is registered in the Medicare PECOS enrollment system.

When is County Of Cottle's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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.