City of Corinth
Organization Active NPI Land Ambulance · Corinth, TX
NPI 1457366304 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1457366304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1000134 (TX)
- Legal business name
- CITY OF CORINTH
- Practice address
- 3501 FM 2181
Suite B
Corinth, TX 76210-2634 - Phone
- (940) 279-4590
- Fax
- (940) 279-4599
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Adam Luther
- Title
- Division Chief
- Phone
- (940) 279-4590
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1028686 | Lake Cities Fire Department | Certificate of waiver | Jul 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050328000941 | TX | Part B Supplier - Ambulance Service Supplier | 4880640366 | Practice locations: Lake Dallas, TX; Corinth, TX |
National Provider Directory
Locations
3501 FM 2181
Ste B
Corinth, TX 76210
Phone (940) 279-4590
3101 Garrison Rd
Corinth, TX 76210
Phone (940) 321-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000134 | TX | Yes |
Addresses
Primary practice location
3501 FM 2181
Suite B
Corinth, TX 76210-2634
Mailing address
3501 FM 2181
Suite B
Corinth, TX 76210-2634
Phone (940) 279-4590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB556 | Other | TX | BC/BS OF TEXAS |
Other names
- Lake Cities Fire Department
Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.