City of Earth
Organization Active NPI Ambulance · Earth, TX
NPI 1255339347 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1255339347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 140006 (TX)
- Legal business name
- CITY OF EARTH
- Practice address
- 202 East Main
Earth, TX 79031-0010 - Phone
- (806) 257-3415
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. J. Allen Gover
- Title
- Mayor
- Phone
- (806) 257-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121108000251 | TX | Part B Supplier - Ambulance Service Supplier | 9739330374 | Practice locations: Earth, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Ambulance | 341600000X | 140006 | TX | Yes |
Addresses
Primary practice location
202 East Main
Earth, TX 79031-0010
Mailing address
P.O. Box 10
Earth, TX 79031-0010
Phone (806) 257-2111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000118201 | Medicaid | TX |
Other providers in Earth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. 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.