Organization Active NPI

City of Fredericksburg

  • Ambulance
  • Fredericksburg, TX
National Provider Identifier
1093706269
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
086003 Issued in TX
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

Updated by the provider on Jun 3, 2010

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100915000255 TX Part B Supplier - Ambulance Service Supplier 1254456296 Practice locations: Fredericksburg, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.