Active NPI
Montgomery County Hospital District
- Ambulance
- Conroe, TX
National Provider Identifier
1437218062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 300189
- Legal business name
- MONTGOMERY COUNTY HOSPITAL DISTRICT
- Practice address
- 1400 South Loop 336 West
Conroe, TX 77304-3504 - Phone
- (936) 523-1128
- Fax
- (936) 539-2766
- NPI assigned
- Dec 8, 2006
- Organization subpart
- Yes
- Parent organization
- MONTGOMERY COUNTY HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen Rita Webb
- Title
- Billing Manager
- Phone
- (936) 523-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 300189 | TX | Primary |
Addresses
Primary practice location
1400 South Loop 336 West
Conroe, TX 77304-3504
Mailing address
PO Box 2587
Conroe, TX 77305-2587
Phone (936) 523-1128
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47240 | Other | TX | HMO BLUE STAR PLUS 81053 |
| XMTE06119 | Other | CA | CAID SAN MATEO CA |
| 0070831 | Other | TX | BC BS OF TN 180150 |
| 296743 | Other | PA | BC BS OF PA 898845 |
| 300189 | Other | TX | ESIS 419310 |
| 41527 | Other | TX | CHIPS AMERIKIDS 62947 |
| 107752101 | Medicaid | TX | |
| 590006512 | Other | TX | RR MCARE 10066 |
| AMB300189 | Other | TX | TEXAS MUTUAL 841843 |
| 300128 | Other | TX | TEXAS MUTUAL 12029 |
| 1014892 | Other | TX | AETNA 1125 |
Other names 1
- MCHD-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 |
|---|---|---|---|---|
| O20090306000528 | TX | Part B Supplier - Ambulance Service Supplier | 4981760436 | Practice locations: Conroe, 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 |
|---|---|---|---|
| 45D1031029 | Montgomery County Hospital District EMS | Certificate of waiver | Sep 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Center Hospital
- Part of
- Medical Center Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Conroe, TX
- NPI 1346558590
Locations
200 River Pointe Dr
Ste 200
Conroe, TX 77304
Phone (936) 523-1128
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Public Health or Welfare Agency
- Conroe, TX
- NPI 1346558590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308873600000",
"number": "1437218062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2587",
"city": "CONROE",
"state": "TX",
"postal_code": "773052587",
"telephone_number": "936-523-1128",
"fax_number": "936-539-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SOUTH LOOP 336 WEST",
"city": "CONROE",
"state": "TX",
"postal_code": "773043504",
"telephone_number": "936-523-1128",
"fax_number": "936-539-2766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MONTGOMERY COUNTY HOSPITAL DISTRICT",
"enumeration_date": "2006-12-08",
"last_updated": "2011-06-24",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "RITA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "936-523-1128",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "300189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE STAR PLUS 81053",
"identifier": "47240",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAID SAN MATEO CA",
"identifier": "XMTE06119",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF TN 180150",
"identifier": "0070831",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF PA 898845",
"identifier": "296743",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESIS 419310",
"identifier": "300189",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS AMERIKIDS 62947",
"identifier": "41527",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107752101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE 10066",
"identifier": "590006512",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MUTUAL 841843",
"identifier": "AMB300189",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MUTUAL 12029",
"identifier": "300128",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA 1125",
"identifier": "1014892",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCHD-EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Conroe, TX
- Monte Nido Texas, LLC
- Ariana Montes
- Montgomery Comprehensive Dental Center
- Montgomery County Cardiovascular Associates PA
- Montgomery County Hospital District
- Montgomery County Lung Clinic, P.a.
- Montgomery County Periodontal Associates PC
- Montgomery County Public Health District
- Montgomery Orthopedic Care Specialists PLLC
- Charlotte Carey Montgomery, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.