Organization Active NPI

Metrocare EMS

  • Land Ambulance
  • Nederland, TX
National Provider Identifier
1679573182
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
600006 Issued in TX
Legal business name
METROCARE EMS
Practice address
3734 Highway 69 N
Nederland, TX 77627-8818
Phone
(409) 729-0212
Fax
(409) 729-0098
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mr. George Knupple
Title
General Manager
Phone
(325) 691-8906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 600006 TX Primary

Addresses

Primary practice location

3734 Highway 69 N
Nederland, TX 77627-8818

Mailing address

PO Box 26018
Dept 8002
Beaumont, TX 77720-6018
Phone (325) 691-8906

Other identifiers 1

IdentifierTypeStateIssuer
AMB546OtherTXBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

3734 Highway 69 N
Nederland, TX 77627
Phone (409) 729-0212

830 East Rd
Ste A
Stephenville, TX 76401
Phone (254) 592-2500

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1679573182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26018",
            "address_2": "DEPT 8002",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777206018",
            "telephone_number": "325-691-8906",
            "fax_number": "325-691-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 HIGHWAY 69 N",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776278818",
            "telephone_number": "409-729-0212",
            "fax_number": "409-729-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KNUPPLE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "325-691-8906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "600006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AMB546",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.