Organization Active NPI

City of Longview

  • Land Ambulance
  • Longview, TX
National Provider Identifier
1073516548
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF LONGVIEW
Practice address
200 S Center St
Longview, TX 75601-7447
Phone
(903) 202-3067
Fax
(903) 234-8919
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
James William Lawrence
Title
EMS Chief
Phone
(903) 431-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

200 S Center St
Longview, TX 75601-7447

Mailing address

PO Box 1952
Longview, TX 75606-1952
Phone (903) 237-1232

Other identifiers 1

IdentifierTypeStateIssuer
086184101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000408 TX Part B Supplier - Ambulance Service Supplier 3779501630 Practice locations: Longview, TX

National Provider Directory

National Provider Directory

Locations

200 S Center St
Longview, TX 75601
Phone (214) 753-2323

100 E Cotton St
Longview, TX 75601

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1073516548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1952",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756061952",
            "telephone_number": "903-237-1232",
            "fax_number": "903-234-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CENTER ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017447",
            "telephone_number": "903-202-3067",
            "fax_number": "903-234-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LONGVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "903-431-0432"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086184101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.