Active NPI
City of Humble
- Ambulance
- Humble, TX
National Provider Identifier
1710064100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10020671 | Other | TX | AMERIGROUP |
| 000183601 | Medicaid | TX | |
| 507597 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100920000983 | TX | Part B Supplier - Ambulance Service Supplier | 1254456841 | Practice locations: Humble, TX |
National Provider Directory
National Provider DirectoryLocations
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.