City of Bowie

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

169006 Issued in 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

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Page

Title

EMS Administrator

Phone

(940) 872-2122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Jana Marie Brady, APRN, FNP-BC
• Cassandra Lynn Brookshire
• Amanda Leigh Burkhardt
• Sheri Lee Cameron, COTA
• Central Hospital of Bowie LP
• Shandrea Clark, LPC
• Thomas C Conder, D.O.
• Andrew Crawford, CRNA
• CVS Pharmacy Inc (CVS Pharmacy # 07445)
• Taylor Lacoste Davis, PTA

• Land Ambulance in Bowie, TX
• Providers in Bowie, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.