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WISE COUNTY EMS
NPI 1891700753
Ambulance in Decatur, TX

Active since July 29, 2006CLIA 45D0719856 · Waiver
1101 ROSE AVE., DECATUR, TX 76234(940) 627-2002(940) 627-7521 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2024, Nov 18, 2021 (2 updates tracked since 2021).

About Wise County Ems NPPES

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

WISE COUNTY EMS (NPI 1891700753) is a healthcare organization registered as an ambulance in Decatur, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Randall Preuninger, Ems Administrator, as its authorized official.

NPPES Registry Identity

NPI1891700753
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCOUNTY OF WISE
Location Address1101 ROSE AVE.Decatur, TX 76234
Mailing Address1101 W Rose AveDecatur, TX 76234-3304 · (940) 627-2002 · Fax (940) 627-7521
Phone(940) 627-2002
Fax(940) 627-7521
Organization SubpartNo
Authorized OfficialRandall PreuningerEms Administrator · (940) 627-2002
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1891700753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in TX · 249008
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).
1101 ROSE AVE., Decatur, TX 76234
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Other Names 1

Doing Business AsWise County Ems

Other Identifiers 3

Other514948TX · Bc/bs Of Texas
Medicaid088232601TX
Other590005964Railroad Medicare

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 45D0719856

Wise County Ems · Decatur, TX
Active · expires May 2, 2027
CLIA Number45D0719856
Laboratory TypeAmbulance
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorRandall D. Preuninger
Laboratory Phone(940) 627-4204
Laboratory LocationWise County Ems1101 W Rose Ave, Decatur, TX 76234
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
11,679 services704 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
895 services594 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
243 services191 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
59 services56 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 Wise's NPI number?

The NPI number for County Of Wise is 1891700753. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Wise County Ems.

Where is County Of Wise located?

County Of Wise is located at 1101 Rose Ave., Decatur, TX 76234. The listed phone number is (940) 627-2002.

What is County Of Wise's specialty?

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

Does County Of Wise hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0719856) is associated with this NPI, valid through May 2, 2027. 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 Wise was last updated on April 24, 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.