# CITY OF KINGSVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043395304
- **Authorized official:** MR. JAMES CREEK (CAPTAIN)
- **Authorized official phone:** (361) 592-6445

## Contact information

- **Practice address:** 119 N 10TH ST, KINGSVILLE, TX 78363-4622
- **Practice address phone:** (361) 592-6445
- **Practice address fax:** (361) 595-4798
- **Mailing address:** PO BOX 1458, KINGSVILLE, TX 78364-1458
- **Mailing address phone:** (361) 595-8009
- **Mailing address fax:** (361) 595-8035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 137001 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 12/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086178301 | — | TX |
| 01 | — | 10011752 | AMERIGROUP | TX |
| 01 | — | 590482041 | RAILROAD MEDICARE | TX |