City of Killeen, Texas

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

300065 Issued in TX

Legal business name

CITY OF KILLEEN, TEXAS

Doing business as

City of Killeen EMS Billing Dept.

Practice address

101 N. College Street
Killeen, TX 76540

Phone

(254) 501-7730

Fax

(254) 501-8984

NPI assigned

Apr 27, 2006

Last updated

Apr 12, 2017By 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

Ronald L Olson

Title

City Manager

Phone

(254) 501-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of Killeen EMS Billing Dept. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

City of Killeen EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Killeen

  • Land Ambulance
  • Killeen, TX
  • NPI 1801337274
  NPD tax ID

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1568429090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76540",
            "telephone_number": "254-501-7730",
            "fax_number": "254-501-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N. COLLEGE STREET",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76540",
            "telephone_number": "254-501-7730",
            "fax_number": "254-501-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KILLEEN, TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "254-501-7700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086546101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Killeen EMS Billing Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twila Christman, LCSW
• Hannah Chudej
• Udoka Chukwuocha
• Madeline Y Chung
• City of Killeen
• Reeser Leevon Clare, APRN-CNP
• Anjela Clark, LMFT
• Maliyah Clark
• Mary Suann Clark
• Michaela Breanne Clark

• Land Ambulance in Killeen, TX
• Providers in Killeen, 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 12, 2017; 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.