Granbury Hood County Emergency

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

111005 Issued in TX

Legal business name

GRANBURY HOOD COUNTY EMERGENCY

Doing business as

Texas EMS

Practice address

2200 Commercial LN
Granbury, TX 76048-5697

Phone

(817) 279-1408

Fax

(817) 573-9711

NPI assigned

Apr 27, 2006

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricky Reeves

Title

Executive Director

Phone

(817) 279-1408

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Texas EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1346207966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COMMERCIAL LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485697",
            "telephone_number": "817-279-1408",
            "fax_number": "817-573-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COMMERCIAL LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485697",
            "telephone_number": "817-279-1408",
            "fax_number": "817-573-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBURY HOOD COUNTY EMERGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-279-1408"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "111005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511719-0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Granbury II Enterprises, LLC (The Oaks of Granbury)

• Land Ambulance in Granbury, TX
• Providers in Granbury, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.