MEDICARE: CITY OF KINGSVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	137001	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590482041	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10011752	OTHER	TX	AMERIGROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043395304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF KINGSVILLE

Provider Business Mailing Address
First Line	:	PO BOX 1458
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78364-1458
Country	:	US
Telephone Number	:	361-595-8009
Fax Number	:	361-595-8035

Provider Business Practice Location Address
First Line	:	119 N 10TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4622
Country	:	US
Telephone Number	:	361-592-6445
Fax Number	:	361-595-4798

Authorized Official
Title or Position	:	CAPTAIN
Name	:	MR. JAMES CREEK
Credential	:
Telephone Number	:	361-592-6445

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	12/08/2025

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Directions to “CITY OF KINGSVILLE ” Practice Location

Language	Start Address	Practice Location

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