City of Deer Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

101022 Issued in TX

Legal business name

CITY OF DEER PARK

Practice address

2211 East X Street
Deer Park, TX 77536-4293

Phone

(281) 478-7281

Fax

(281) 478-7289

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Fletcher

Title

Ambulance Billing Clerk

Phone

(281) 478-7281

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EMERGENCY AMBULANCE SERVICE Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1811041023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775360700",
            "telephone_number": "281-478-7281",
            "fax_number": "281-478-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EAST X STREET",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364293",
            "telephone_number": "281-478-7281",
            "fax_number": "281-478-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DEER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AMBULANCE BILLING CLERK",
        "authorized_official_telephone_number": "281-478-7281",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000911-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "911 EMERGENCY AMBULANCE",
            "identifier": "505970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGENCY AMBULANCE SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madelyn Chambers, LCDCI
• Blair Lyanne Chandler, FNP-C
• Charles W Allen Mdpa
• Rita Ann Chessher
• Tywanna L Chisley, M.D.
• Jeremiah E Clifford, LCDC
• Martha Diana Cohen, DDS
• Community Health 1St ER, LLC
• Concentra Health Services, Inc.
• Core Occupational Medicine Services

• Land Ambulance in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.