MEDICARE: CITY OF KERRVILLE

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	133011	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0194271	OTHER	TX	DEPT OF LABOR & INDUSTRIE
2	617580	OTHER	TX	BCBS OF VIRGINIA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730186636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF KERRVILLE

Provider Business Mailing Address
First Line	:	7900 NW 154TH ST STE 201
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5816
Country	:	US
Telephone Number	:	830-257-8449
Fax Number	:	830-315-0576

Provider Business Practice Location Address
First Line	:	365 CLEARWATER PASEO STE 200
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-2429
Country	:	US
Telephone Number	:	830-257-8449
Fax Number	:	830-315-0576

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	ERIC MALONEY
Credential	:
Telephone Number	:	830-257-8499

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/19/2025

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Directions to “CITY OF KERRVILLE ” Practice Location

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