Active NPI
City of Fredericksburg
- Ambulance
- Fredericksburg, TX
National Provider Identifier
1093706269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 086003
- Legal business name
- CITY OF FREDERICKSBURG
- Practice address
- 126 W Main St
Fredericksburg, TX 78624-3708 - Phone
- (830) 990-2030
- Fax
- (830) 990-1005
- NPI assigned
- Nov 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Lynn Seewald
- Title
- EMS Accounts Administrator
- Phone
- (830) 990-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 086003 | TX | Primary |
Addresses
Primary practice location
126 W Main St
Fredericksburg, TX 78624-3708
Mailing address
126 W Main St
Fredericksburg, TX 78624-3708
Phone (830) 990-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100915000255 | TX | Part B Supplier - Ambulance Service Supplier | 1254456296 | Practice locations: Fredericksburg, TX |
National Provider Directory
National Provider DirectoryLocations
126 W Main St
Fredericksburg, TX 78624
Phone (830) 990-2030
221 Friendship Ln
Fredericksburg, TX 78624
Phone (830) 997-8495
1208 N Llano St
Fredericksburg, TX 78624
Phone (830) 997-3704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1093706269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 W MAIN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243708",
"telephone_number": "830-990-2030",
"fax_number": "830-990-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 W MAIN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786243708",
"telephone_number": "830-990-2030",
"fax_number": "830-990-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF FREDERICKSBURG",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "SEEWALD",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "EMS ACCOUNTS ADMINISTRATOR",
"authorized_official_telephone_number": "830-990-2030"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "086003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.