Active NPI
Village Fire Department
- Land Ambulance
- Houston, TX
National Provider Identifier
1184643330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101056
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602915500 | Other | US DOL PROVIDER ID | |
| 509861 | Other | TX | BC/BS OF TEXAS |
| 000279201 | Medicaid | TX | |
| 509861 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110328000537 | TX | Part B Supplier - Ambulance Service Supplier | 1557544657 | Practice locations: Houston, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1028188 | Village Fire Department | Certificate of waiver | Jul 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.