Edgecliff Village EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

220001 Issued in TX

Legal business name

EDGECLIFF VILLAGE EMS

Doing business as

Town of Edgecliff Village EMS

Practice address

1605 Edgecliff Rd
Fort Worth, TX 76134-1121

Phone

(817) 293-4313

Fax

(817) 293-4660

NPI assigned

Jul 29, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Young

Title

EMS Administrator

Phone

(817) 293-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Town of Edgecliff Village EMS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1174538011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EDGECLIFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761341121",
            "telephone_number": "817-293-4313",
            "fax_number": "817-293-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EDGECLIFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761341121",
            "telephone_number": "817-293-4313",
            "fax_number": "817-293-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECLIFF VILLAGE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EMS ADMINISTRATOR",
        "authorized_official_telephone_number": "817-293-4313"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "220001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "508856",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Edgecliff Village EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly T Eden, MD
• Donna Edeza Pipes, PT
• Edge-MD McCart, PLLC
• Edge-MD Meadowbrook, PLLC
• Edge-MD Rosedale, PLLC
• Patience Ediale
• Carol Diane Edley, MS CCC SLP
• Karoline Monet Edmonds, APRN, CRNA
• Steven Ray Edmondson, MD
• Kristy Kay Edney, RN

• Ambulance in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.