Active NPI
City of Whitney
- Land Ambulance
- Whitney, TX
National Provider Identifier
1568883239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF WHITNEY
- Practice address
- 115 West Jefferson Street
Whitney, TX 76692 - Phone
- (254) 337-0194
- Fax
- (903) 887-1863
- NPI assigned
- Dec 26, 2013
- 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
- Wayland Price Jr.
- Title
- Fire Chief
- Phone
- (254) 337-0194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
115 West Jefferson Street
Whitney, TX 76692
Mailing address
PO Box 610150
Dallas, TX 75261-0150
Phone (877) 602-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140414000265 | TX | Part B Supplier - Ambulance Service Supplier | 4385876937 | Practice locations: Whitney, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2071125 | City of Whitney EMS | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
103 W Cleveland Ave
Whitney, TX 76692
Phone (254) 479-2582
115 W Jefferson Ave
Whitney, TX 76692
Phone (254) 337-0194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388016000000",
"number": "1568883239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752610150",
"telephone_number": "877-602-2060",
"fax_number": "903-887-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WEST JEFFERSON STREET",
"city": "WHITNEY",
"state": "TX",
"postal_code": "76692",
"telephone_number": "254-337-0194",
"fax_number": "903-887-1863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WHITNEY",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "WAYLAND",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "254-337-0194",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.