City of Whitewright

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

91010 Issued in TX

Legal business name

CITY OF WHITEWRIGHT

Doing business as

City of Whitewright EMS

Practice address

206 West Grand St
Whitewright, TX 75491

Phone

(903) 364-2211

NPI assigned

Jul 20, 2006

Last updated

Apr 10, 2009By 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

Bill Goodson

Title

Mayor

Phone

(903) 364-2211

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of Whitewright EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1508886417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "WHITEWRIGHT",
            "state": "TX",
            "postal_code": "754910516",
            "telephone_number": "903-364-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WEST GRAND ST",
            "city": "WHITEWRIGHT",
            "state": "TX",
            "postal_code": "75491",
            "telephone_number": "903-364-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WHITEWRIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "903-364-2211"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "91010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "514625",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000402001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Whitewright EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sydney Holland
• Jamie Lee McKinney, MS, RN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.