Organization Active NPI

Kleenex EMS, Inc

  • Land Ambulance
  • Beaumont, TX
National Provider Identifier
1215200704
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000736 Issued in TX
Legal business name
KLEENEX EMS, INC
Practice address
5925 Phelan Blvd # I
Suite 175
Beaumont, TX 77706-6253
Phone
(409) 860-4576
Fax
(832) 350-7894
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Christopher Gbenga Akamo
Title
President
Phone
(409) 860-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000736 TX Primary

Addresses

Primary practice location

5925 Phelan Blvd # I
Suite 175
Beaumont, TX 77706-6253

Mailing address

5925 Phelan Blvd # I
Suite 175
Beaumont, TX 77706-6253
Phone (409) 860-4576

Other identifiers 1

IdentifierTypeStateIssuer
1000736OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

5925 Phelan Blvd
Ste I-175
Beaumont, TX 77706
Phone (409) 860-4576

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1215200704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD # I",
            "address_2": "SUITE 175",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "409-860-4576",
            "fax_number": "832-350-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 PHELAN BLVD # I",
            "address_2": "SUITE 175",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066253",
            "telephone_number": "409-860-4576",
            "fax_number": "832-350-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEENEX EMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "AKAMO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GBENGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-860-4576"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.