Organization Active NPI

City of Corinth

Doing business as Lake Cities Fire Department

  • Land Ambulance
  • Corinth, TX
National Provider Identifier
1457366304
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000134 Issued in TX
Legal business name
CITY OF CORINTH
Doing business as
Lake Cities Fire Department
Practice address
3501 FM 2181
Suite B
Corinth, TX 76210-2634
Phone
(940) 279-4590
Fax
(940) 279-4599
NPI assigned
Jul 29, 2006
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Adam Luther
Title
Division Chief
Phone
(940) 279-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000134 TX Primary

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 names 1

  • Lake Cities Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000941 TX Part B Supplier - Ambulance Service Supplier 4880640366 Practice locations: Lake Dallas, TX; Corinth, 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
45D1028686Lake Cities Fire Department3501 FM 2181 Suite B, Corinth, TX 76210Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

Locations

3101 Garrison Rd
Corinth, TX 76210
Phone (940) 321-2141

3501 FM 2181
Ste B
Corinth, TX 76210
Phone (940) 279-4590

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1457366304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 FM 2181",
            "address_2": "SUITE B",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102634",
            "telephone_number": "940-279-4590",
            "fax_number": "940-279-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 FM 2181",
            "address_2": "SUITE B",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102634",
            "telephone_number": "940-279-4590",
            "fax_number": "940-279-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CORINTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "940-279-4590"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Cities Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Cities Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.