City of Cross Plains
Organization Active NPI Land Ambulance · Cross Plains, TX
NPI 1487780995 · NPPES record last updated Jul 20, 2010
Key facts
- NPI
- 1487780995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 030002 (TX)
- Legal business name
- CITY OF CROSS PLAINS
- Practice address
- 116 NW 2ND St
Cross Plains, TX 76443-2532 - Phone
- (254) 725-4350
- Fax
- (254) 725-4350
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Susan J Schaefer
- Title
- Coordinator
- Phone
- (254) 725-4350
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101220000248 | TX | Part B Supplier - Ambulance Service Supplier | 4183812084 | Practice locations: Cross Plains, TX |
National Provider Directory
- Tax ID family
- City of Cross Plains
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 030002 | TX | Yes |
Addresses
Primary practice location
116 NW 2ND St
Cross Plains, TX 76443-2532
Mailing address
PO Box 597
Cross Plains, TX 76443-0597
Phone (254) 725-4350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001133-01 | Medicaid | TX |
Other names
- Cross Plains Emergency Medical Service
Other providers in Cross Plains, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2010. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.