City of Dickinson
Organization Active NPI Ambulance · Dickinson, TX
NPI 1679588685 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1679588685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 800092 (TX)
- Legal business name
- CITY OF DICKINSON
- Practice address
- 2716 FM 517 Rd E
Dickinson, TX 77539-8615 - Phone
- (281) 337-6261
- Fax
- (281) 337-6190
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Keith Kiplinger
- Title
- EMS Administrator
- Phone
- (281) 337-6261
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060508000814 | TX | Part B Supplier - Ambulance Service Supplier | 0941211734 | Practice locations: Dickinson, TX |
National Provider Directory
Locations
4500 FM 517 Rd E
Dickinson, TX 77539
Phone (281) 337-6261
2716 FM 517 Rd E
Dickinson, TX 77539
Phone (281) 337-6261
4403 Highway 3
Dickinson, TX 77539
Phone (281) 534-3065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 800092 | TX | Yes |
Addresses
Primary practice location
2716 FM 517 Rd E
Dickinson, TX 77539-8615
Mailing address
2716 FM 517 Rd E
Dickinson, TX 77539-8615
Phone (281) 337-6261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00296354 | Other | RAILROAD MEDICARE | |
| AMB818 | Other | TX | BC/BS OF TEXAS |
Other names
- Dickinson
Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.