Organization Active NPI

Killeen Emergency Center, LLC

Doing business as SignatureCare Emergency Center, LLC

  • Emergency Care Clinic/Center
  • Killeen, TX
National Provider Identifier
1467930420
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
KILLEEN EMERGENCY CENTER, LLC
Doing business as
SignatureCare Emergency Center, LLC
Practice address
800 W Central Texas Expy
Killeen, TX 76541
Phone
(254) 220-4117
Fax
(832) 415-0279
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mr. Tray Moore
Title
Customer Service Manager
Phone
(832) 699-3777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

800 W Central Texas Expy
Killeen, TX 76541

Mailing address

PO Box 734233
Dallas, TX 75373-7233
Phone (254) 220-4117

Other names 1

  • SignatureCare Emergency Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467930420. Details of each certification follow.

Hospital certification: CCN 670209

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SIGNATURE CARE EMERGENCY CENTER-KILLEEN
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 29, 2020
Last certification
Apr 29, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
800 W Central Texas Expy
Killeen, TX 76541

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
45D2154411Killeen Emergency Center,LLC800 E Central Texas Expressway, Killeen, TX 76541AccreditationMay 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1467930420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734233",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753737233",
            "telephone_number": "254-220-4117",
            "fax_number": "832-415-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76541",
            "telephone_number": "254-220-4117",
            "fax_number": "832-415-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TRAY",
        "authorized_official_title_or_position": "CUSTOMER SERVICE MANAGER",
        "authorized_official_telephone_number": "832-699-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SignatureCare Emergency Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.