MEDICARE: CITY OF LONGVIEW

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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073516548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LONGVIEW

Provider Business Mailing Address
First Line	:	PO BOX 1952
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75606-1952
Country	:	US
Telephone Number	:	903-237-1232
Fax Number	:	903-234-8919

Provider Business Practice Location Address
First Line	:	200 S CENTER ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-7447
Country	:	US
Telephone Number	:	903-202-3067
Fax Number	:	903-234-8919

Authorized Official
Title or Position	:	EMS CHIEF
Name	:	JAMES WILLIAM LAWRENCE
Credential	:
Telephone Number	:	903-431-0432

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/22/2025

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Directions to “CITY OF LONGVIEW ” Practice Location

Language	Start Address	Practice Location

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