BLACKBIRD ENTERPRISES, LLC (NPI# 1356613137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356613137 |
| Entity Type | Organization |
| Organization Name | BLACKBIRD ENTERPRISES, LLC |
| Other Organization Name | ALLEGIANCE AMBULANCE |
| Practice Address |
422 Champions Dr Georgetown TX 78628-1184 |
| Mailing Address |
Po Box 2775 Georgetown TX 78627-2775 |
| Practice Telephone | 2549352424 |
| Practice Fax Number | 9038871863 |
| Mailing Telephone | 2549352424 |
| Mailing Fax Number | 9038871863 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | MR. DAVID PHILLIPS (OWNER) |
| Authorized Official Telephone | 2549352424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 1000781 | 01 |
| Other Name | Type Code |
|---|---|
| Allegiance Ambulance | Doing Business As Name - Organization |
| Street Address |
422 CHAMPIONS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-1184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265808430 | City of Georgetown | Ambulance | 3500 D B Wood Rd, Georgetown, TX 78628-7222 | 2015-08-11 |
| 1497012280 | Southern Bureau of Emergency Medical Services | Ambulance | 660 Red Dog Road Ext, Georgetown, PA 15043-1056 | 2012-04-18 |
| 1871724864 | Lone Star Ambulance 1, LLC | Ambulance | 3201 S Austin Ave Ste 335, Georgetown, TX 78626-7643 | 2009-08-07 |
| 1225099534 | Georgetown-scott County Ambulance Service | Ambulance | 141 South Broadway Street, Georgetown, KY 40324 | 2006-03-29 |
| 1073513206 | Georgetown Volunteer Life Squad Association | Ambulance | 821 Mt. Orab Pike, Georgetown, OH 45121 | 2005-07-29 |
| 1033458385 | Dpar Roadrunner LLC, Dba Allegiance Ambulance | Ambulance | 501 S Austin Ave, Suite 1310, Georgetown, TX 78626-5637 | 2013-02-06 |
| 1306986104 | Sussex Post 8 American Legion Georgetown Ambulance Serv | Ambulance | 406 N Front St, Georgetown, DE 19947-1134 | 2007-02-08 |
| 1750431979 | Georgetown Fire Protection District Ambulance Service | Ambulance | 211 S Main St, Georgetown, IL 61846-1855 | 2007-01-11 |
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| 1871190264 | Integrity Alliance Partners LLC | Ambulance | 933 Clubside Dr, Suite A, East Bernard, TX 77435 | 2020-10-08 |
| 1962010850 | Rapid Turtle LLC | Ambulance | 7411 Windsor View Dr, Spring, TX 77379-5373 | 2020-07-17 |
| 1033736962 | Duval County Emergency Service District # 1 | Ambulance | 1106 S Norton Ave, Freer, TX 78357-7835 | 2020-06-26 |
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| 1528682481 | Missouri Health Services | Ambulance | 2440 Texas Pkwy Ste 370b, Missouri City, TX 77489-4000 | 2020-06-05 |
| 1275155699 | 1st Response LLC | Ambulance | 5408 E Loop 250 N Unit B, Midland, TX 79705-9319 | 2020-05-07 |
| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on BLACKBIRD ENTERPRISES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.