Organization Active NPI

City of West University Place

  • Land Ambulance
  • West University Place, TX
National Provider Identifier
1265470165
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101063 Issued in TX
Legal business name
CITY OF WEST UNIVERSITY PLACE
Practice address
3800 University Blvd
West University Place, TX 77005-2802
Phone
(713) 662-5836
Fax
(713) 662-5303
NPI assigned
Jun 3, 2006
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Aaron Kyle Taylor
Title
Fire Chief
Phone
(713) 662-5837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101063 TX Primary

Addresses

Primary practice location

3800 University Blvd
West University Place, TX 77005-2802

Mailing address

3800 University Blvd
West University Place, TX 77005-2802
Phone (713) 662-5836

Other identifiers 3

IdentifierTypeStateIssuer
152175901MedicaidTX
101063OtherTXTDS EMS AMBULANCE LICENSE
505139OtherTXBLUECROSS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001381 TX Part B Supplier - Ambulance Service Supplier 6305825662 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
45D1030338City of West University Place Fire Dept3800 University, Houston, TX 77005Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Locations

3800 University Blvd
West University Place, TX 77005
Phone (713) 662-5836

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1265470165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 UNIVERSITY BLVD",
            "city": "WEST UNIVERSITY PLACE",
            "state": "TX",
            "postal_code": "770052802",
            "telephone_number": "713-662-5836",
            "fax_number": "713-662-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 UNIVERSITY BLVD",
            "city": "WEST UNIVERSITY PLACE",
            "state": "TX",
            "postal_code": "770052802",
            "telephone_number": "713-662-5836",
            "fax_number": "713-662-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEST UNIVERSITY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "713-662-5837"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152175901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDS EMS AMBULANCE LICENSE",
            "identifier": "101063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS NUMBER",
            "identifier": "505139",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West University Place, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.