CITY OF KEENE TEX NPI 1124057948

NPI Information

NPI: 1124057948
Provider Name: CITY OF KEENE TEX

Doing Business As: KEENE FIRE/RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D2083823

Address:
203 W HILLCREST
KEENE, TX
ZIP 76059
Phone: (817) 648-7536
Get Directions

CITY OF KEENE TEX is a land transport ambulance in Keene, TX. CITY OF KEENE TEX NPI is 1124057948. The provider is registered as an organization entity type.
The provider Is Doing Business As Keene Fire/rescue.

The provider's business location address is:

203 W HILLCREST
KEENE, TX
ZIP 76059
Phone: (817) 648-7536
Fax: (817) 645-8080

The provider's authorized official is Michelle Beeson .
The authorized official title is Medical Director and has the following contact phone number (972) 339-4234.

The CLIA number assigned to this NPI record is 45D2083823 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	300110	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	088197101	MEDICAID	TEXAS
2	826590332	MEDICARE PIN	TEXAS
3	505796	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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