Active NPI
Eclipse Ambulance Service
- Ambulance
- Pearland, TX
National Provider Identifier
1053092155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ECLIPSE AMBULANCE SERVICE
- Practice address
- 9421 W Sterling Dr
Pearland, TX 77584-8558 - Phone
- (281) 416-5380
- NPI assigned
- Jul 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Felicia Drake
- Title
- Owner
- Phone
- (281) 846-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
9421 W Sterling Dr
Pearland, TX 77584-8558
Mailing address
9421 W Sterling Dr
Pearland, TX 77584-8558
Phone (281) 416-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231018002382 | TX | Part B Supplier - Ambulance Service Supplier | 7911352463 | Practice locations: Pearland, TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1053092155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9421 W STERLING DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848558",
"telephone_number": "281-416-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9421 W STERLING DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848558",
"telephone_number": "281-416-5380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECLIPSE AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "FELICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-846-6161"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.