Active NPI
City of Nassau Bay
- Land Ambulance
- Houston, TX
National Provider Identifier
1508887258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101046
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101046 | Other | TX | DSHS LICENSE |
| 590012635 | Other | TX | RAILROAD MEDICARE PIN |
| 000640501 | Medicaid | TX | |
| 528275 | Other | TX | BC/BS OF TEXAS |
Other names 1
- City of Nassau Bay EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041210000691 | TX | Part B Supplier - Ambulance Service Supplier | 5092772087 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
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.