City of Cleveland

Key facts

NPI

1508996950

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

License

146010 (TX)

Legal business name

CITY OF CLEVELAND

Practice address

207 E Boothe
Cleveland, TX 77327

Phone

(281) 592-8044

Fax

(281) 659-0448

NPI assigned

Mar 6, 2007

Organization subpart

No

Authorized official

Name

Karen P Laake

Title

Billing Agent

Phone

(281) 397-0397

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• City of Cleveland EMS Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2014.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1508996950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E BOOTHE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-592-8044",
            "fax_number": "281-659-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLEVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "LAAKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "281-397-0397"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "146010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005675",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088229201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Cleveland EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Cleveland, TX · Land Ambulance in Texas