Organization Active NPI

City of Lufkin

  • Land Ambulance
  • Lufkin, TX
National Provider Identifier
1871654111
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
003001 Issued in TX
Legal business name
CITY OF LUFKIN
Practice address
111 S 3Rd St
Lufkin, TX 75901-3043
Phone
(936) 633-0376
Fax
(936) 633-0368
NPI assigned
Dec 12, 2006
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Ted Lovett
Title
Fire Chief
Phone
(936) 633-0421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 003001 TX Primary

Addresses

Primary practice location

111 S 3Rd St
Lufkin, TX 75901-3043

Mailing address

111 S Third Street
Lufkin, TX 75901-3043
Phone (936) 633-0376

Other identifiers 1

IdentifierTypeStateIssuer
109544002MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000110 TX Part B Supplier - Ambulance Service Supplier 0143350777 Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

111 S 3rd St
Lufkin, TX 75901
Phone (409) 633-9367

1408 Kurth Dr
Lufkin, TX 75904
Phone (936) 633-0379

314 E Lufkin Ave
Lufkin, TX 75901
Phone (936) 633-0390

802 Trailwood Blvd
Lufkin, TX 75904
Phone (936) 633-0378

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1871654111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S THIRD STREET",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013043",
            "telephone_number": "936-633-0376",
            "fax_number": "936-633-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 3RD ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013043",
            "telephone_number": "936-633-0376",
            "fax_number": "936-633-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LUFKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "LOVETT",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "936-633-0421"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "003001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109544002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.