Organization Active NPI

City of Glenn Heights

  • Land Ambulance
  • Glenn Heights, TX
National Provider Identifier
1922045392
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
57007 Issued in TX
Legal business name
CITY OF GLENN HEIGHTS
Practice address
1938 S Hampton Rd
Glenn Heights, TX 75154-8534
Phone
(972) 223-1690
Fax
(972) 274-4507
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Christopher D Shook
Title
Fire Chief
Phone
(972) 223-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 57007 TX Primary

Addresses

Primary practice location

1938 S Hampton Rd
Glenn Heights, TX 75154-8534

Mailing address

1938 S Hampton Rd
Glenn Heights, TX 75154-8534
Phone (972) 223-1690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000085 TX Part B Supplier - Ambulance Service Supplier 1557524360 Practice locations: Glenn Heights, TX

National Provider Directory

National Provider Directory

Locations

1938 S Hampton Rd
Glenn Heights, TX 75154
Phone (972) 223-1690

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1922045392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 S HAMPTON RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548534",
            "telephone_number": "972-223-1690",
            "fax_number": "972-274-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 S HAMPTON RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548534",
            "telephone_number": "972-223-1690",
            "fax_number": "972-274-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GLENN HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "972-223-1690"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "57007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.