=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467266296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF WEBSTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2025
-----------------------------------------------------
Last Update Date | 03/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18300 HIGHWAY 3
-----------------------------------------------------
City | WEBSTER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77598-5404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-316-3742
-----------------------------------------------------
Fax | 281-332-5859
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18300 HIGHWAY 3
-----------------------------------------------------
City | WEBSTER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77598-5404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-316-3742
-----------------------------------------------------
Fax | 281-332-5859
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMS BATTALION CHIEF
-----------------------------------------------------
Name | BRADLEY WAYNE STARKEY
-----------------------------------------------------
Credential | LP
-----------------------------------------------------
Telephone | 281-316-3748
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 146L00000X
-----------------------------------------------------
Taxonomy Name | Paramedic
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------