City of Plainview
Organization Active NPI Land Ambulance · Plainview, TX
NPI 1376500652 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1376500652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 095007 (TX)
- Legal business name
- CITY OF PLAINVIEW
- Practice address
- 2701 Dimmitt Road
Plainview, TX 79072-1832 - Phone
- (806) 296-1170
- Fax
- (806) 296-1171
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Bobby C. Gipson
- Title
- Fire Chief
- Phone
- (806) 296-1170
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120322000085 | TX | Part B Supplier - Ambulance Service Supplier | 1153581566 | Practice locations: Plainview, TX |
National Provider Directory
Locations
202 W 5th St
Plainview, TX 79072
911 Quincy St
Plainview, TX 79072
Phone (806) 296-1172
901 Broadway St
Plainview, TX 79072
2701 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-1170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 095007 | TX | Yes |
Addresses
Primary practice location
2701 Dimmitt Road
Plainview, TX 79072-1832
Mailing address
202 W 5TH Street
Plainview, TX 79072-8232
Phone (806) 296-1130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000264402 | Medicaid | TX | |
| 590003197 | Other | TX | RR MEDICARE |
| 590003197 | Other | TX | RAILROAD MEDICARE |
Other names
- City of Plainview Fire/EMS
Other providers in Plainview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.