City of Watauga
Organization Active NPI Land Ambulance · Watauga, TX
NPI 1497809453 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1497809453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF WATAUGA
- Practice address
- 7101 Whitley Rd
Watauga, TX 76148-2024 - Phone
- (817) 514-5870
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Bill Crawford
- Title
- EMS Director
- Phone
- (817) 514-5870
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071003000254 | TX | Part B Supplier - Ambulance Service Supplier | 6709971997 | Practice locations: Watauga, TX |
National Provider Directory
Locations
5909 Hightower Dr
Watauga, TX 76148
Phone (817) 514-5874
7101 Whitley Rd
Watauga, TX 76148
Phone (817) 514-5831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 300232 | TX | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
7101 Whitley Rd
Watauga, TX 76148-2024
Mailing address
7101 Whitley Rd
Watauga, TX 76148-2024
Phone (817) 514-5870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141693501 | Medicaid | TX |
Other names
- Watauga Fire
Other providers in Watauga, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. 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.