Active NPI
Teague Hospital Authority
- Land Ambulance
- Teague, TX
National Provider Identifier
1184628752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 081101
- Legal business name
- TEAGUE HOSPITAL AUTHORITY
- Practice address
- 802 US Highway 84 East
Teague, TX 75860-5142 - Phone
- (254) 739-2536
- Fax
- (832) 778-5040
- NPI assigned
- Jun 10, 2005
- Last updated
- Mar 6, 2025
- 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
- William Flippin III
- Title
- EMS Supervisor
- Phone
- (254) 739-2536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 081101 | TX | Primary |
Addresses
Primary practice location
802 US Highway 84 East
Teague, TX 75860-5142
Mailing address
PO Box 599
Teague, TX 75860-0599
Phone (903) 473-0927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156662201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001703 | TX | Part B Supplier - Ambulance Service Supplier | 7113900093 | Practice locations: Teague, TX |
National Provider Directory
National Provider DirectoryLocations
802 US Highway 84 W
Teague, TX 75860
Phone (254) 739-2536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1184628752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 599",
"city": "TEAGUE",
"state": "TX",
"postal_code": "758600599",
"telephone_number": "903-473-0927",
"fax_number": "832-778-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 US HIGHWAY 84 EAST",
"city": "TEAGUE",
"state": "TX",
"postal_code": "758605142",
"telephone_number": "254-739-2536",
"fax_number": "832-778-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAGUE HOSPITAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2025-03-06",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "FLIPPIN III",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EMS SUPERVISOR",
"authorized_official_telephone_number": "254-739-2536"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "081101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156662201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teague, TX
- Pharmacy Plus Inc (Pharmacy Plus #1)
- Podiatry of Central Texas, PA (Central Texas Foot & Ankle, PA)
- Kristin Renee Richardson, OTA
- Stephen Sease, PHARM D
- South Limestone Hospital District (Teague Nursing and Rehabilitation)
- Teague I Enterprises, LLC (Teague Nursing Home)
- Teague Independent School District
- Teague LTC Partners, Inc.
- Jacie B White, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.