Organization Active NPI

City of San Angelo

  • Land Ambulance
  • San Angelo, TX
National Provider Identifier
1265498935
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
226007 Issued in TX
Legal business name
CITY OF SAN ANGELO
Practice address
306 W 1St St
San Angelo, TX 76903-5707
Phone
(325) 657-4356
Fax
(325) 658-3608
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Mr. Brian Dunn
Title
Fire Chief
Phone
(325) 657-4356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 226007 TX Primary

Addresses

Primary practice location

306 W 1St St
San Angelo, TX 76903-5707

Mailing address

PO Box 2289
San Angelo, TX 76902-2289
Phone (800) 460-1444

Other identifiers 1

IdentifierTypeStateIssuer
088202901MedicaidTX

Other names 1

  • Municipal Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000639 TX Part B Supplier - Ambulance Service Supplier 7113196023 Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory
Tax ID family
San Angelo TGC HLTH Dep2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1915 Greenwood St
San Angelo, TX 76901
Phone (325) 245-4151

2121 Office Park Dr
San Angelo, TX 76904
Phone (325) 657-4355

306 W 1st St
San Angelo, TX 76903
Phone (325) 657-4355

3351 Tlc Way
San Angelo, TX 76901
Phone (325) 657-4355

4702 Southland Blvd
San Angelo, TX 76904
Phone (325) 657-4355

514 Smith Blvd
San Angelo, TX 76905
Phone (325) 657-4355

3255 Executive Dr
San Angelo, TX 76904
Phone (325) 657-4355

4386 N Chadbourne St
San Angelo, TX 76903
Phone (325) 657-4355

702 E Avenue L
San Angelo, TX 76903
Phone (325) 657-4355

7894 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 657-4355

2727 Freeland Ave
San Angelo, TX 76901
Phone (325) 657-4355

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1265498935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2289",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769022289",
            "telephone_number": "800-460-1444",
            "fax_number": "210-224-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 1ST ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035707",
            "telephone_number": "325-657-4356",
            "fax_number": "325-658-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN ANGELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "325-657-4356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "226007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088202901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Municipal Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.