Organization Active NPI

Weston Davis

Doing business as Eagle Ambulance LLC

  • Land Ambulance
  • Baytown, TX
National Provider Identifier
1467645028
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WESTON DAVIS
Doing business as
Eagle Ambulance LLC
Practice address
4922 Cotton Lake Rd
Baytown, TX 77520-9820
Phone
(832) 205-3180
Fax
(281) 303-0294
NPI assigned
Aug 27, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Weston K Davis, EMTP
Title
Owner
Phone
(832) 205-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TX Primary

Addresses

Primary practice location

4922 Cotton Lake Rd
Baytown, TX 77520-9820

Mailing address

PO Box 1499
Mont Belvieu, TX 77580-1499
Phone (832) 205-3180

Other identifiers 2

IdentifierTypeStateIssuer
AMB905OtherTXBCBS
191339401MedicaidTX

Other names 1

  • Eagle Ambulance LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1467645028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1499",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775801499",
            "telephone_number": "832-205-3180",
            "fax_number": "281-303-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 COTTON LAKE RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775209820",
            "telephone_number": "832-205-3180",
            "fax_number": "281-303-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WESTON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-205-3180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191339401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Ambulance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.