Active NPI
City of San Angelo
- Land Ambulance
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 226007
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088202901 | Medicaid | TX |
Other names 1
- Municipal Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Dep
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- San Angelo, TX
- NPI 1720091374
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.