City of Mont Belvieu

Primary specialty

AmbulanceTaxonomy code 341600000X

License

36002 Issued in TX

Legal business name

CITY OF MONT BELVIEU

Practice address

11607 Eagle Dr
Mont Belvieu, TX 77580

Phone

(281) 576-2021

Fax

(281) 385-2194

NPI assigned

Jul 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Allum

Title

Assistant Fire Chief

Phone

(281) 576-2213

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mont Belvieu Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1629099262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775801048",
            "telephone_number": "281-576-2021",
            "fax_number": "281-385-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 EAGLE DR",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "77580",
            "telephone_number": "281-576-2021",
            "fax_number": "281-385-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONT BELVIEU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "ALLUM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "281-576-2213"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "36002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "517821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000546401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mont Belvieu Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Campbell, APRN, FNP-C
• Steven Michael Carrell Jr., D.C.
• Perla Yuridia Cedillo, FNP-C
• Nathaniel Conrad Cejka, DDS
• Chambers Community Health Centers, Inc.
• Damien & Lershoniter
• Damien Williams
• Becca Dehoyos
• Jerred Shane Donohoo, P.T.A
• Eagle Family Vision, Inc

• Ambulance in Mont Belvieu, TX
• Providers in Mont Belvieu, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.

Verify at the official NPI Registry.