City of Sachse Texas
Organization Active NPI Land Ambulance · Sachse, TX
NPI 1760520498 · NPPES record last updated Oct 18, 2011
Key facts
- NPI
- 1760520498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 057093 (TX)
- Legal business name
- CITY OF SACHSE TEXAS
- Practice address
- 3815B Sachse Rd
Sachse, TX 75048-3835 - Phone
- (972) 495-0975
- Fax
- (903) 887-1863
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Linda Ford
- Title
- Director
- Phone
- (877) 602-2060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111025000777 | TX | Part B Supplier - Ambulance Service Supplier | 1658544390 | Practice locations: Sachse, TX |
National Provider Directory
Locations
3400 Miles Rd
Sachse, TX 75048
Phone (469) 535-7250
3815 Sachse Rd
Ste B
Sachse, TX 75048
Phone (972) 495-0975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 300267 | TX | |
| Land Ambulance | 3416L0300X | 057093 | TX | Yes |
Addresses
Primary practice location
3815B Sachse Rd
Sachse, TX 75048-3835
Mailing address
P O Box 610487
Dallas, TX 75261
Phone (877) 602-2060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161068501 | Medicaid | TX | |
| P00071670 | Other | TX | RAILROAD MEDICARE |
| AMB685 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names
- CITY OF SACHSE FIRE DEPT
Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2011. 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.