City of Pilot Point
Organization Active NPI Land Ambulance · Pilot Point, TX
NPI 1376567040 · NPPES record last updated Apr 12, 2010
Key facts
- NPI
- 1376567040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 61018 (TX)
- Legal business name
- CITY OF PILOT POINT
- Practice address
- 110 West Division St.
Pilot Point, TX 76258 - Phone
- (940) 686-5038
- Fax
- (940) 686-2222
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Jonathan Tsakonas
- Title
- EMS Administrator
- Phone
- (940) 686-5038
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041015000197 | TX | Part B Supplier - Ambulance Service Supplier | 1557321395 | Practice locations: Pilot Point, TX |
National Provider Directory
Locations
1789 N Washington St
Pilot Point, TX 76258
Phone (940) 597-0350
102 E Main St
Pilot Point, TX 76258
Phone (940) 686-5038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 61018 | TX | Yes |
Addresses
Primary practice location
110 West Division St.
Pilot Point, TX 76258
Mailing address
PO Box 457
Pilot Point, TX 76258-0457
Phone (940) 686-5038
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000150501 | Medicaid | TX | |
| 507047 | Other | TX | BC/BS OF TEXAS |
Other names
- Pilot Point Ambulance Service
Other providers in Pilot Point, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2010. 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.