City of Marshall

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

102001 Issued in TX

Legal business name

CITY OF MARSHALL

Doing business as

Marshall/Harrison County Ambulance Service

Practice address

601 S Grove St
Marshall, TX 75670-5218

Phone

(214) 340-2650

Fax

(214) 503-7135

NPI assigned

Feb 2, 2007

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Gibson

Title

EMS Chief

Phone

(903) 935-4585

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MARSHALL/HARRISON COUNTY AMBULANCE SERVICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1407994106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756710698",
            "telephone_number": "214-340-2650",
            "fax_number": "214-503-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GROVE ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705218",
            "telephone_number": "214-340-2650",
            "fax_number": "214-503-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "903-935-4585"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "102001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590084030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "102001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "501188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL/HARRISON COUNTY AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARSHALL/HARRISON COUNTY AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeri Kellett Charles, FNP
• Toney Lee Charles Jr., PHD
• Choices Adolescent Treatment Ctr
• Christus Good Shepherd Medical Center (Christus Good Shepherd Medical Center - Marshall)
• Christus Good Shepherd Medical Center
• Edna Clark, LPC
• Dwight Raymond Clemans, RN. FNP
• Cody Whiddon Inc.
• Jayme Cole, COTA
• David Collins

• Land Ambulance in Marshall, TX
• Providers in Marshall, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.