Active NPI
City of Sweetwater
- Ambulance
- Sweetwater, TX
National Provider Identifier
1811905425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 177004
- Legal business name
- CITY OF SWEETWATER
- Practice address
- 900 E Broadway St
Sweetwater, TX 79556-4714 - Phone
- (325) 235-4304
- Fax
- (325) 235-8507
- NPI assigned
- Aug 3, 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
- Cynthia Underwood
- Title
- EMS Billing Manager
- Phone
- (325) 235-4304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 177004 | TX | Primary |
Addresses
Primary practice location
900 E Broadway St
Sweetwater, TX 79556-4714
Mailing address
900 E Broadway St
Sweetwater, TX 79556-4714
Phone (325) 235-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000135601 | Medicaid | TX | |
| 506830 | Other | TX | ALL OTHER INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000529 | TX | Part B Supplier - Ambulance Service Supplier | 3173785318 | Practice locations: Sweetwater, TX |
National Provider Directory
National Provider Directory- Tax ID family
- City of Sweetwater
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Delivered Meals
- Sweetwater, TX
- NPI 1437200573
Locations
900 E Broadway St
Sweetwater, TX 79556
Phone (325) 235-4304
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Delivered Meals
- Sweetwater, TX
- NPI 1437200573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1811905425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E BROADWAY ST",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "795564714",
"telephone_number": "325-235-4304",
"fax_number": "325-933-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E BROADWAY ST",
"city": "SWEETWATER",
"state": "TX",
"postal_code": "795564714",
"telephone_number": "325-235-4304",
"fax_number": "325-235-8507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SWEETWATER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "EMS BILLING MANAGER",
"authorized_official_telephone_number": "325-235-4304"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "177004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000135601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCE",
"identifier": "506830",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.