Waskom Volunteer Fire Department and EMS Services Inc
Organization Active NPI Land Ambulance · Waskom, TX
NPI 1043300403 · NPPES record last updated May 20, 2013
Key facts
- NPI
- 1043300403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 000000 (TX)
- Legal business name
- WASKOM VOLUNTEER FIRE DEPARTMENT AND EMS SERVICES INC
- Practice address
- 185 East Texas Ave
Waskom, TX 75692-1757 - Phone
- (888) 473-0920
- Fax
- (832) 778-5040
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Mascha Taylor, BILLING SPECIALIST
- Title
- Manager
- Phone
- (903) 473-0927
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1028961 | Waskom Volunteer Fire Department & EMS SVCS | Certificate of waiver | Aug 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080125000201 | TX | Part B Supplier - Ambulance Service Supplier | 6608960471 | Practice locations: Waskom, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 000000 | TX | Yes |
Addresses
Primary practice location
185 East Texas Ave
Waskom, TX 75692-1757
Mailing address
PO Box 1757
Waskom, TX 75692-1757
Phone (903) 473-0927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000400401 | Medicaid | TX | |
| 590012518 | Other | TX | MEDICARE RAILROAD |
Other providers in Waskom, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.