Organization Active NPI

Montgomery County Hospital District

  • Ambulance
  • Conroe, TX
National Provider Identifier
1437218062
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
300189 Issued in TX
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 DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47240OtherTXHMO BLUE STAR PLUS 81053
XMTE06119OtherCACAID SAN MATEO CA
0070831OtherTXBC BS OF TN 180150
296743OtherPABC BS OF PA 898845
300189OtherTXESIS 419310
41527OtherTXCHIPS AMERIKIDS 62947
107752101MedicaidTX
590006512OtherTXRR MCARE 10066
AMB300189OtherTXTEXAS MUTUAL 841843
300128OtherTXTEXAS MUTUAL 12029
1014892OtherTXAETNA 1125

Other names 1

  • MCHD-EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000528 TX Part B Supplier - Ambulance Service Supplier 4981760436 Practice locations: Conroe, 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
45D1031029Montgomery County Hospital District EMS1400 S. Loop 336 West, Conroe, TX 77304Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Hospital2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.