Active NPI
City of Lufkin
- Land Ambulance
- Lufkin, TX
National Provider Identifier
1871654111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 003001
- 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, 2013
- 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
- Ted Lovett
- Title
- Fire Chief
- Phone
- (936) 633-0421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109544002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100609000110 | TX | Part B Supplier - Ambulance Service Supplier | 0143350777 | Practice locations: Lufkin, TX |
National Provider Directory
National Provider DirectoryLocations
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.