Organization Active NPI

Phillips Specialty Services

  • Ambulance
  • Huntsville, TX
National Provider Identifier
1457513269
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000159 Issued in TX
Legal business name
PHILLIPS SPECIALTY SERVICES
Practice address
117 FM 247 Rd
Huntsville, TX 77320-8777
Phone
(936) 435-1556
Fax
(936) 435-1556
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Mary T Gentile
Title
Authorized Official
Phone
(860) 257-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000159 TX Primary

Addresses

Primary practice location

117 FM 247 Rd
Huntsville, TX 77320-8777

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-7080

Other identifiers 1

IdentifierTypeStateIssuer
199962501MedicaidTX

National Provider Directory

National Provider Directory

Locations

117 FM 247 Rd
Huntsville, TX 77320
Phone (936) 435-1556

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1457513269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FM 247 RD",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773208777",
            "telephone_number": "936-435-1556",
            "fax_number": "936-435-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-257-7080"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199962501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.