Teague Hospital Authority
Organization Active NPI Land Ambulance · Teague, TX
NPI 1184628752 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1184628752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 081101 (TX)
- 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
- Organization subpart
- No
Authorized official
- Name
- William Flippin III
- Title
- EMS Supervisor
- Phone
- (254) 739-2536
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001703 | TX | Part B Supplier - Ambulance Service Supplier | 7113900093 | Practice locations: Teague, TX |
National Provider Directory
Locations
802 US Highway 84 W
Teague, TX 75860
Phone (254) 739-2536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 081101 | TX | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156662201 | Medicaid | TX |
Other providers in Teague, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.