Organization Active NPI

City of Humble

  • Ambulance
  • Humble, TX
National Provider Identifier
1710064100
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF HUMBLE
Practice address
114 W Higgins St
Humble, TX 77338-4305
Phone
(281) 446-7889
Fax
(281) 446-7491
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Wyatt Watkins
Title
Ao
Phone
(281) 446-2212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X 101087 TX

Addresses

Primary practice location

114 W Higgins St
Humble, TX 77338-4305

Mailing address

114 W Higgins St
Humble, TX 77338-4305
Phone (281) 446-7889

Other identifiers 3

IdentifierTypeStateIssuer
10020671OtherTXAMERIGROUP
000183601MedicaidTX
507597OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000983 TX Part B Supplier - Ambulance Service Supplier 1254456841 Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

108 W Main St
#1
Humble, TX 77338
Phone (281) 446-2212

1401 S Houston Ave
#2
Humble, TX 77338
Phone (281) 446-2212

114 W Higgins St
Humble, TX 77338
Phone (281) 446-7889

108 W Main St
Humble, TX 77338
Phone (281) 446-7889

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1710064100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W HIGGINS ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384305",
            "telephone_number": "281-446-7889",
            "fax_number": "281-446-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W HIGGINS ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384305",
            "telephone_number": "281-446-7889",
            "fax_number": "281-446-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HUMBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "281-446-2212"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10020671",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000183601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "507597",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.