Organization Active NPI

Novus & Fortis LLC

  • Ambulance
  • Longview, TX
National Provider Identifier
1942533666
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NOVUS & FORTIS LLC
Practice address
701 Glencrest LN Ste B
Longview, TX 75601-5145
Phone
(281) 568-5734
Fax
(844) 344-5333
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Gregg Delgado
Title
Adminiatrator
Phone
(281) 568-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X TX Primary

Addresses

Primary practice location

701 Glencrest LN Ste B
Longview, TX 75601-5145

Mailing address

701 Glencrest LN Ste B
Longview, TX 75601-5145
Phone (281) 568-5734

Other identifiers 2

IdentifierTypeStateIssuer
212519701MedicaidTX
P00836136OtherTXRAILROAD MEDICARE

Other names 1

  • FORCE EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000677 TX Part B Supplier - Ambulance Service Supplier 7517008352 Practice locations: Longview, 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
45D2072666Novus & Fortis LLC Dba Force EMS701 Glencrest Lane Ste B, Longview, TX 75601Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Novus Fortis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 Glencrest Ln
Ste B
Longview, TX 75601
Phone (281) 568-5734

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1942533666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GLENCREST LN STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015145",
            "telephone_number": "281-568-5734",
            "fax_number": "844-344-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GLENCREST LN STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015145",
            "telephone_number": "281-568-5734",
            "fax_number": "844-344-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS & FORTIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "ADMINIATRATOR",
        "authorized_official_telephone_number": "281-568-5734"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212519701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00836136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORCE EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FORCE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.