Active NPI
Tri City Emergency Medical Service Inc
- Land Ambulance
- Gordon, TX
National Provider Identifier
1487907143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 182005
- Legal business name
- TRI CITY EMERGENCY MEDICAL SERVICE INC
- Practice address
- 111 East Crockett St
Gordon, TX 76453 - Phone
- (940) 859-3488
- NPI assigned
- Oct 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James E Dickson, LICENSED PARAMEDIC
- Title
- EMS Coordinator
- Phone
- (940) 859-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 182005 | TX | Primary |
Addresses
Primary practice location
111 East Crockett St
Gordon, TX 76453
Mailing address
PO Box 271
Gordon, TX 76453-0271
Phone (940) 859-3488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182005 | Other | TX | EMS PROVIDER LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1487907143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271",
"city": "GORDON",
"state": "TX",
"postal_code": "764530271",
"telephone_number": "940-859-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST CROCKETT ST",
"city": "GORDON",
"state": "TX",
"postal_code": "76453",
"telephone_number": "940-859-3488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI CITY EMERGENCY MEDICAL SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-18",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "DICKSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "940-859-3488",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICENSED PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "182005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMS PROVIDER LICENSE",
"identifier": "182005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gordon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.