Organization Active NPI

Harris County Esd No 50

Doing business as Channelview Fire Dept

  • Ambulance
  • Channelview, TX
National Provider Identifier
1881979748
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000748 Issued in TX
Legal business name
HARRIS COUNTY ESD NO 50
Doing business as
Channelview Fire Dept
Practice address
1210 Dell Dale St
Channelview, TX 77530-2402
Phone
(281) 254-1804
Fax
(281) 860-0019
NPI assigned
Oct 11, 2011
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Mr. Jimmy D Sumbera
Title
Administrator
Phone
(281) 254-1804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000748 TX Primary

Addresses

Primary practice location

1210 Dell Dale St
Channelview, TX 77530-2402

Mailing address

PO Box 691363
Houston, TX 77269-1363
Phone (281) 397-0397

Other practice location 1

16229 Market St
Channelview, TX 77530-4473
Phone (281) 452-5782 ext. 1

Other names 1

  • CHANNELVIEW FIRE DEPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000611 TX Part B Supplier - Ambulance Service Supplier 9638338692 Practice locations: Channelview, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1012147Harris County Esd #501210 Dell Dale St, Channelview, TX 77530RegistrationApr 6, 2027

National Provider Directory

National Provider Directory

Locations

1210 Dell Dale St
Channelview, TX 77530
Phone (281) 254-1804

15201 East Fwy
Ste 113
Channelview, TX 77530
Phone (281) 452-5782

904 Dell Dale St
Channelview, TX 77530
Phone (281) 452-5024

14340 Torrey Chase Blvd
Ste 280
Houston, TX 77014

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1881979748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DELL DALE ST",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775302402",
            "telephone_number": "281-254-1804",
            "fax_number": "281-860-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16229 Market St",
            "address_purpose": "LOCATION",
            "city": "Channelview",
            "state": "TX",
            "postal_code": "775304473",
            "country_code": "US",
            "telephone_number": "281-452-5782 x1",
            "fax_number": "281-860-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARRIS COUNTY ESD NO 50",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SUMBERA",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-254-1804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANNELVIEW FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHANNELVIEW FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Channelview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.