BLACKBIRD ENTERPRISES LLC NPI 1356613137

NPI Information

NPI: 1356613137
Provider Name: BLACKBIRD ENTERPRISES, LLC

Doing Business As: ALLEGIANCE AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
422 CHAMPIONS DR
GEORGETOWN, TX
ZIP 78628
Phone: (254) 935-2424
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BLACKBIRD ENTERPRISES, LLC is a land transport ambulance in Georgetown, TX. BLACKBIRD ENTERPRISES, LLC NPI is 1356613137. The provider is registered as an organization entity type.
The provider Is Doing Business As Allegiance Ambulance.

The provider's business location address is:

422 CHAMPIONS DR
GEORGETOWN, TX
ZIP 78628-184
Phone: (254) 935-2424
Fax: (903) 887-1863

The provider's authorized official is David Phillips .
The authorized official title is Owner and has the following contact phone number (254) 935-2424.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 2/20/2012.

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		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	Other Provider Identifier Issuer
1	1000781	OTHER	TEXAS	LICENSE

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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