Organization Active NPI

City of Idalou

  • Land Ambulance
  • Idalou, TX
National Provider Identifier
1629072129
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Oct 9, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00104241OtherTXMEDICARE RAIL ROAD
000015001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000744 TX Part B Supplier - Ambulance Service Supplier 4587840491 Practice locations: Idalou, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.