Organization Active NPI

City of Hurst

  • Land Ambulance
  • Hurst, TX
National Provider Identifier
1376681353
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
220071 Issued in TX
Legal business name
CITY OF HURST
Practice address
1505 Precinct Line Rd
Hurst, TX 76054-3302
Phone
(817) 788-7000
Fax
(214) 741-1412
NPI assigned
Feb 2, 2007
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Matthew Easter
Title
Battalion Chief/EMS Coordinator
Phone
(817) 788-7272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300234 TX
Land Ambulance 3416L0300X 220071 TX Primary

Addresses

Primary practice location

1505 Precinct Line Rd
Hurst, TX 76054-3302

Mailing address

1505 Precinct Line Rd
Hurst, TX 76054-3302
Phone (817) 788-7000

Other identifiers 3

IdentifierTypeStateIssuer
AMB575OtherTXBCBS
590014545OtherTXRAILROAD MEDICARE
1376681353MedicaidTX

Other names 1

  • City of Hurst Texas, City of Hurst Ambulance, City of Hurst EAS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000636 TX Part B Supplier - Ambulance Service Supplier 7416118161 Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Locations

1505 Precinct Line Rd
Hurst, TX 76054
Phone (817) 788-7000

200 Holloway Ct
Hurst, TX 76053
Phone (817) 788-7238

2100 Precinct Line Rd
#1
Hurst, TX 76054
Phone (817) 788-7027

837 W Pipeline Rd
#2
Hurst, TX 76053
Phone (817) 788-7027

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1376681353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543302",
            "telephone_number": "817-788-7000",
            "fax_number": "214-741-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543302",
            "telephone_number": "817-788-7000",
            "fax_number": "214-741-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "BATTALION CHIEF/EMS COORDINATOR",
        "authorized_official_telephone_number": "817-788-7272"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300234",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "220071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB575",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014545",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376681353",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Hurst Texas, City of Hurst Ambulance, City of Hurst EAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.