Active NPI
City of Grapeland
- Ambulance
- Grapeland, TX
National Provider Identifier
1295830388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 113002
- Legal business name
- CITY OF GRAPELAND
- Practice address
- 126 South Oak
Grapeland, TX 75844 - Phone
- (936) 687-2115
- Fax
- (936) 687-2799
- NPI assigned
- Sep 13, 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
- Mrs. Chastity Lori Ann Leblanc, PARAMEDIC
- Title
- EMS Assistantt Chief
- Phone
- (936) 687-2115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 113002 | TX | Primary |
Addresses
Primary practice location
126 South Oak
Grapeland, TX 75844
Mailing address
PO Box 567
Grapeland, TX 75844-0567
Phone (936) 687-2115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0863888-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080905000337 | TX | Part B Supplier - Ambulance Service Supplier | 8426124058 | Practice locations: Grapeland, TX |
National Provider Directory
National Provider DirectoryLocations
126 S Oak St
Grapeland, TX 75844
Phone (409) 687-2115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1295830388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 567",
"city": "GRAPELAND",
"state": "TX",
"postal_code": "758440567",
"telephone_number": "936-687-2115",
"fax_number": "936-687-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 SOUTH OAK",
"city": "GRAPELAND",
"state": "TX",
"postal_code": "75844",
"telephone_number": "936-687-2115",
"fax_number": "936-687-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF GRAPELAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "LEBLANC",
"authorized_official_first_name": "CHASTITY",
"authorized_official_middle_name": "LORI ANN",
"authorized_official_title_or_position": "EMS ASSISTANTT CHIEF",
"authorized_official_telephone_number": "936-687-2115",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "113002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0863888-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grapeland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.