Organization Active NPI

Citizens Emergency Medical Service Inc.

Doing business as Citizens EMS

  • Ambulance
  • Clyde, TX
National Provider Identifier
1407960180
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
030001 Issued in TX
Legal business name
CITIZENS EMERGENCY MEDICAL SERVICE INC.
Doing business as
Citizens EMS
Practice address
911 S 1St St W Unit a
Clyde, TX 79510-4035
Phone
(325) 893-5754
Fax
(325) 893-4127
NPI assigned
Aug 18, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Victor Eugene Hudman II, MD
Title
Medical Director
Phone
(325) 893-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 030001 TX Primary

Addresses

Primary practice location

911 S 1St St W Unit a
Clyde, TX 79510-4035

Mailing address

PO Box 1556
Clyde, TX 79510-1556
Phone (325) 893-5754

Other identifiers 1

IdentifierTypeStateIssuer
0000739-01MedicaidTX

Other names 1

  • Citizens EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000209 TX Part B Supplier - Ambulance Service Supplier 2961536529 Practice locations: Clyde, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1032237Citizens Emergency Medical Services911 S 1St W Suite a, Clyde, TX 79510Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Citizens Emergency Medical Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1407960180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1556",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795101556",
            "telephone_number": "325-893-5754",
            "fax_number": "325-893-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S 1ST ST W UNIT A",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795104035",
            "telephone_number": "325-893-5754",
            "fax_number": "325-893-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS EMERGENCY MEDICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HUDMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "325-893-1074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "030001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000739-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citizens EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.