Organization Active NPI

City of Nassau Bay

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1508887258
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101046 Issued in TX
Legal business name
CITY OF NASSAU BAY
Practice address
18100 Upper Bay Rd
Suite 200
Houston, TX 77058-3548
Phone
(281) 335-5380
Fax
(281) 333-2301
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Csilla Stiles
Title
Finance Director
Phone
(281) 336-6284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101046 TX Primary

Addresses

Primary practice location

18100 Upper Bay Rd
Suite 200
Houston, TX 77058-3548

Mailing address

1800 Space Park Drive
Suite 200
Houston, TX 77058
Phone (281) 335-5380

Other identifiers 4

IdentifierTypeStateIssuer
101046OtherTXDSHS LICENSE
590012635OtherTXRAILROAD MEDICARE PIN
000640501MedicaidTX
528275OtherTXBC/BS OF TEXAS

Other names 1

  • City of Nassau Bay EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041210000691 TX Part B Supplier - Ambulance Service Supplier 5092772087 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

18100 Upper Bay Rd
Ste 200
Houston, TX 77058
Phone (281) 333-4211

1800 Nasa Pkwy
#One
Houston, TX 77058

18295 Upper Bay Rd
Houston, TX 77058
Phone (281) 333-4211

1800 Space Park Dr
Ste 200
Houston, TX 77058

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1508887258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SPACE PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-335-5380",
            "fax_number": "281-333-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 UPPER BAY RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583548",
            "telephone_number": "281-335-5380",
            "fax_number": "281-333-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NASSAU BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "CSILLA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "281-336-6284"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS LICENSE",
            "identifier": "101046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "590012635",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000640501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "528275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Nassau Bay EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.