Active NPI
City of Idalou
- Land Ambulance
- Idalou, TX
National Provider Identifier
1629072129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF IDALOU
- Practice address
- 914 Frontage Rd
Idalou, TX 79329 - Phone
- (806) 892-2531
- Fax
- (806) 892-3298
- NPI assigned
- Jun 13, 2005
- 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
- April Copeland, REG MA
- Title
- Billing MGR
- Phone
- (806) 787-6764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
914 Frontage Rd
Idalou, TX 79329
Mailing address
PO Box 1277
Idalou, TX 79329-1277
Phone (806) 787-6764
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00104241 | Other | TX | MEDICARE RAIL ROAD |
| 000015001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110510000744 | TX | Part B Supplier - Ambulance Service Supplier | 4587840491 | Practice locations: Idalou, TX |
National Provider Directory
National Provider DirectoryLocations
301 Main St
Idalou, TX 79329
Phone (806) 892-2414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1629072129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1277",
"city": "IDALOU",
"state": "TX",
"postal_code": "793291277",
"telephone_number": "806-787-6764",
"fax_number": "806-892-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 FRONTAGE RD",
"city": "IDALOU",
"state": "TX",
"postal_code": "79329",
"telephone_number": "806-892-2531",
"fax_number": "806-892-3298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF IDALOU",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "806-787-6764",
"authorized_official_credential": "REG MA"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00104241",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000015001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idalou, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.