City of Bowie – Land Ambulance in Bowie, TX

Key facts

NPI: 1508880253
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
License: 169006 (TX)
Legal business name: CITY OF BOWIE
Practice address: 203 Walnut St
Bowie, TX 76230-4840
Phone: (940) 872-2122
Fax: (940) 872-6544
NPI assigned: Jul 26, 2006
Organization subpart: No

Authorized official

Name: Douglas Page
Title: EMS Administrator
Phone: (940) 872-2122

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D1027111	City of Bowie Fire Dept 203 Walnut, Bowie, TX 76230	Certificate of waiver	Jun 22, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20051116000173	TX	Part B Supplier - Ambulance Service Supplier	5698794972	Practice locations: Bowie, TX

National Provider Directory

Locations

203 Walnut St
Bowie, TX 76230
Phone (940) 872-2122

304 Lindsey St
Bowie, TX 76230
Phone (940) 872-1114

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	169006	TX	Yes

Addresses

Primary practice location

203 Walnut St
Bowie, TX 76230-4840

Mailing address

304 Lindsey St
Bowie, TX 76230-4912
Phone (940) 872-2122

Other identifiers

Identifier	Type	State	Issuer
000047301	Medicaid	TX
505146	Other	TX	BC/BS OF TEXAS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2018.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1508880253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LINDSEY ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304912",
            "telephone_number": "940-872-2122",
            "fax_number": "940-872-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALNUT ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304840",
            "telephone_number": "940-872-2122",
            "fax_number": "940-872-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOWIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EMS ADMINISTRATOR",
        "authorized_official_telephone_number": "940-872-2122"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "169006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000047301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "505146",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, TX

All providers in Bowie, TX · Land Ambulance in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. 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.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.