Organization Active NPI

Metrocare Services - Austin

  • Land Ambulance
  • Austin, TX
National Provider Identifier
1508866138
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
300504 Issued in TX
Legal business name
METROCARE SERVICES - AUSTIN
Practice address
4100 Ed Bluestein Blvd
Suite 100
Austin, TX 78721-2300
Phone
(512) 389-2144
Fax
(512) 693-8277
NPI assigned
Jul 26, 2005
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mr. George Knupple
Title
General Manager
Phone
(325) 691-8906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300504 TX Primary

Addresses

Primary practice location

4100 Ed Bluestein Blvd
Suite 100
Austin, TX 78721-2300

Mailing address

PO Box 26018
Department 8002
Beaumont, TX 77720-6018
Phone (325) 691-8906

Other identifiers 2

IdentifierTypeStateIssuer
P00083967OtherTXRAILROAD MEDICARE
AMB641OtherTXBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

311 W 3rd St
Alice, TX 78332
Phone (361) 325-1394

3913 Todd Ln
Ste 308
Austin, TX 78744
Phone (337) 291-1530

4100 Ed Bluestein Blvd
Austin, TX 78721
Phone (337) 291-1530

104 Grady Tuck Ln
Bastrop, TX 78602
Phone (888) 276-2267

4926 Research Dr
San Antonio, TX 78240
Phone (210) 877-1348

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1508866138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26018",
            "address_2": "DEPARTMENT 8002",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777206018",
            "telephone_number": "325-691-8906",
            "fax_number": "325-691-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ED BLUESTEIN BLVD",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212300",
            "telephone_number": "512-389-2144",
            "fax_number": "512-693-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE SERVICES - AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KNUPPLE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "325-691-8906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00083967",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AMB641",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.