Organization Active NPI

Village Fire Department

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1184643330
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101056 Issued in TX
Legal business name
VILLAGE FIRE DEPARTMENT
Practice address
901 Corbindale Rd
Houston, TX 77024-2805
Phone
(713) 468-7941
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Marlo Contreras-Longoria
Title
Administrator
Phone
(713) 468-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101056 TX Primary

Addresses

Primary practice location

901 Corbindale Rd
Houston, TX 77024-2805

Mailing address

901 Corbindale Rd
Houston, TX 77024-2805
Phone (713) 468-7941

Other identifiers 4

IdentifierTypeStateIssuer
602915500OtherUS DOL PROVIDER ID
509861OtherTXBC/BS OF TEXAS
000279201MedicaidTX
509861OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000537 TX Part B Supplier - Ambulance Service Supplier 1557544657 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1028188Village Fire Department901 Corbindale, Houston, TX 77024Certificate of waiverJul 20, 2028

National Provider Directory

National Provider Directory

Locations

901 Corbindale Rd
Houston, TX 77024
Phone (713) 468-7941

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1184643330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CORBINDALE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242805",
            "telephone_number": "713-468-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CORBINDALE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242805",
            "telephone_number": "713-468-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS-LONGORIA",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-468-7941"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL PROVIDER ID",
            "identifier": "602915500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "509861",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000279201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "509861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, 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.
  • 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.