Organization Active NPI

Prime Ambulance Service Inc.

  • Ambulance
  • Houston, TX
National Provider Identifier
1669601050
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000278 Issued in TX
Legal business name
PRIME AMBULANCE SERVICE INC.
Practice address
13940 Bammel North Houston Rd
Suite 234
Houston, TX 77066-2958
Phone
(281) 583-8786
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Rodrick Baker
Title
Director
Phone
(281) 583-8786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000278 TX Primary

Addresses

Primary practice location

13940 Bammel North Houston Rd
Suite 234
Houston, TX 77066-2958

Mailing address

13940 Bammel North Houston Rd
Suite 234
Houston, TX 77066-2958
Phone (281) 583-8786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000712 TX Part B Supplier - Ambulance Service Supplier 7618020918 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13940 Bammel North Houston Rd
Ste 221
Houston, TX 77066
Phone (281) 583-8786

13940 Bammel North Houston Rd
Ste 234
Houston, TX 77066
Phone (281) 583-8786

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1669601050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 BAMMEL NORTH HOUSTON RD",
            "address_2": "SUITE 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662958",
            "telephone_number": "281-583-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 BAMMEL NORTH HOUSTON RD",
            "address_2": "SUITE 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662958",
            "telephone_number": "281-583-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RODRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-583-8786"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.