Organization Active NPI

Harris County Emergency Services No4

  • Land Ambulance
  • Huffman, TX
National Provider Identifier
1417467812
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000971 Issued in TX
Legal business name
HARRIS COUNTY EMERGENCY SERVICES NO4
Practice address
54 Ivy Leaf Dr
Huffman, TX 77336-3301
Phone
(281) 913-6100
Fax
(281) 324-3881
NPI assigned
Oct 11, 2017
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Cody Nance
Title
Assistant Chief-EMS
Phone
(409) 289-5613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000971 TX Primary

Addresses

Primary practice location

54 Ivy Leaf Dr
Huffman, TX 77336-3301

Mailing address

PO Box 1028
Huffman, TX 77336-1028
Phone (281) 913-6100

Other practice location 1

24139 FM 2100
Huffman, TX 77336
Phone (281) 913-6100

Other names 2

  • Huffman EMS Former legal business name
  • Huffman Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180215001406 TX Part B Supplier - Ambulance Service Supplier 0840550653 Practice locations: Huffman, TX

National Provider Directory

National Provider Directory

Locations

12207 Huffman Oaks Ln
Huffman, TX 77336
Phone (281) 324-9110

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1417467812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "HUFFMAN",
            "state": "TX",
            "postal_code": "773361028",
            "telephone_number": "281-913-6100",
            "fax_number": "281-324-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 IVY LEAF DR",
            "city": "HUFFMAN",
            "state": "TX",
            "postal_code": "773363301",
            "telephone_number": "281-913-6100",
            "fax_number": "281-324-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24139 FM 2100",
            "address_purpose": "LOCATION",
            "city": "Huffman",
            "state": "TX",
            "postal_code": "77336",
            "country_code": "US",
            "telephone_number": "281-913-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARRIS COUNTY EMERGENCY SERVICES NO4",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "ASSISTANT CHIEF-EMS",
        "authorized_official_telephone_number": "409-289-5613"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huffman EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Huffman Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huffman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.