Organization Active NPI

City of College Station

  • Land Ambulance
  • College Station, TX
National Provider Identifier
1891728465
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
021004 Issued in TX
Legal business name
CITY OF COLLEGE STATION
Practice address
300 Krenek Tap Rd
College Station, TX 77840-5023
Phone
(979) 764-3705
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Joshua Varner
Title
Asst. EMS Chief
Phone
(979) 764-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 021004 TX Primary

Addresses

Primary practice location

300 Krenek Tap Rd
College Station, TX 77840-5023

Mailing address

PO Box 223783
Dallas, TX 75222-3783
Phone (979) 764-3705

Other identifiers 13

IdentifierTypeStateIssuer
0000OtherCOCHAMPUS VA CENTER
0000OtherWICHAMPUS FOUNDATION HEALTH
000053101MedicaidTX
505305OtherTXCLAREDON CHIPS PROGRAM
8541632OtherKYAETNA
8541632OtherTXFEDERAL BLUE
60054OtherTXAETNA HEALTH PLANS OF TEX
0000OtherSCCHAMPUS RETIRED MILITARY
000053101OtherVAAMERIGROUP - MEDICAID
505305OtherTXBCBS
0009728OtherNEHARRIS METHODIST HEALTH P
95266OtherCOHARRINGTON BNEFITS SE
103014100OtherTXFIRST CARE HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000060 TX Part B Supplier - Ambulance Service Supplier 1153461926 Practice locations: College Station, 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
45D1029068City of College Station Fire Dept300 Krenek Tap, College Station, TX 77840Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

3105 Corsair Cir
College Station, TX 77845
Phone (979) 213-6105

1101 Texas Ave S
College Station, TX 77840
Phone (979) 764-3575

300 Krenek Tap Rd
College Station, TX 77840
Phone (409) 765-3568

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1891728465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223783",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752223783",
            "telephone_number": "979-764-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KRENEK TAP RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405023",
            "telephone_number": "979-764-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLLEGE STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "ASST. EMS CHIEF",
        "authorized_official_telephone_number": "979-764-3705"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "021004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS VA CENTER",
            "identifier": "0000",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS FOUNDATION HEALTH",
            "identifier": "0000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAREDON CHIPS PROGRAM",
            "identifier": "505305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8541632",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE",
            "identifier": "8541632",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS OF TEX",
            "identifier": "60054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS RETIRED MILITARY",
            "identifier": "0000",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP - MEDICAID",
            "identifier": "000053101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "505305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRIS METHODIST HEALTH P",
            "identifier": "0009728",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BNEFITS SE",
            "identifier": "95266",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE HMO",
            "identifier": "103014100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.