Organization Active NPI

City of Allen

Doing business as City of Allen Fire Department

  • Land Ambulance
  • Allen, TX
National Provider Identifier
1043428949
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
43011 Issued in TX
Legal business name
CITY OF ALLEN
Doing business as
City of Allen Fire Department
Practice address
310 Century Pkwy
Allen, TX 75013-8048
Phone
(214) 509-4400
Fax
(214) 509-4410
NPI assigned
May 21, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kurt Hall
Title
EMS Director
Phone
(214) 509-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 43011 TX Primary

Addresses

Primary practice location

310 Century Pkwy
Allen, TX 75013-8048

Mailing address

310 Century Pkwy
Allen, TX 75013-8048
Phone (214) 509-4400

Other identifiers 2

IdentifierTypeStateIssuer
590006952MedicaidTX
0000506659OtherTXBCBS OF TEXAS

Other names 1

  • City of Allen Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000544 TX Part B Supplier - Ambulance Service Supplier 5890979579 Practice locations: Allen, TX

National Provider Directory

National Provider Directory
Tax ID family
Allen Fire Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1021 E Bethany Dr
#3
Allen, TX 75002
Phone (214) 509-4405

1100 E Exchange Pkwy
#2
Allen, TX 75002
Phone (214) 509-4405

1950 W McDermott Dr
#5
Allen, TX 75013
Phone (214) 509-4405

310 Century Pkwy
Allen, TX 75013
Phone (214) 509-4400

615 N Alma Dr
#4
Allen, TX 75013
Phone (214) 509-4405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1043428949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTURY PKWY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138048",
            "telephone_number": "214-509-4400",
            "fax_number": "214-509-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTURY PKWY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138048",
            "telephone_number": "214-509-4400",
            "fax_number": "214-509-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "214-509-4400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "43011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590006952",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0000506659",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Allen Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.