City of Keene Tex

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

300110 Issued in TX

Legal business name

CITY OF KEENE TEX

Practice address

203 W Hillcrest
Keene, TX 76059

Phone

(817) 648-7536

Fax

(817) 645-8080

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Beeson, MD

Title

Medical Director

Phone

(972) 339-4234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keene Fire/Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1124057948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MOCKINGBIRD LN",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760592323",
            "telephone_number": "817-556-2474",
            "fax_number": "817-645-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W HILLCREST",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "76059",
            "telephone_number": "817-648-7536",
            "fax_number": "817-645-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KEENE TEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "BEESON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-339-4234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088197101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keene Fire/Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Belken, DDS
• Brock Bennion, DDS
• Louis M Caldwell Jr., R.PH.
• Celia J Castro
• Chisholm Trail Estates, Inc
• Cheryl Renee Clark, SLP-A
• Community Living Concepts, Inc
• Linda De Romanett, M.D.
• Dr Supply
• Ranier Drapiza, PT

• All providers in Keene, TX
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.