Active NPI
Citizens Emergency Medical Service Inc.
Doing business as Citizens EMS
- Ambulance
- Clyde, TX
National Provider Identifier
1407960180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 030001
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000739-01 | Medicaid | TX |
Other names 1
- Citizens EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100818000209 | TX | Part B Supplier - Ambulance Service Supplier | 2961536529 | Practice locations: Clyde, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1032237 | Citizens Emergency Medical Services | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Citizens Emergency Medical Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Paramedic
- Clyde, TX
- NPI 1558411728
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
- Callahan County Health and Wellness Clinic PLLC
- Shannon Lee Campbell, AGACNP-BC
- Billy W. Carpenter, DO
- Margarette Jean Chaney, R.N.
- Citizens Emergency Medical Service
- Clyde Cons Isd
- Clyde Nursing Center, L.P (Clyde Nursing Center)
- Clyde Physical Therapy PLLC
- Clyde SNF LLC (Clyde Nursing Center)
- Kathryn Linette Cobb, MA LPC-S
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.