Active NPI
West Carlisle Volunteer Fire Department, Inc.
Doing business as west carlisle Fire/EMS
- Paramedic
- Lubbock, TX
National Provider Identifier
1174556864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 152018
- Legal business name
- WEST CARLISLE VOLUNTEER FIRE DEPARTMENT, INC.
- Doing business as
- west carlisle Fire/EMS
- Practice address
- 121 Inler Ave
Lubbock, TX 79416-9505 - Phone
- (806) 797-0412
- NPI assigned
- Jul 8, 2006
- 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
- Tim Smith, RN, EMT-P
- Title
- Fire Chief, Director EMS
- Phone
- (806) 797-0412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 152018 | TX | Primary |
Addresses
Primary practice location
121 Inler Ave
Lubbock, TX 79416-9505
Mailing address
PO Box 98044
Lubbock, TX 79499-8044
Phone (806) 797-0412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146893601 | Medicaid | TX |
Other names 1
- west carlisle Fire/EMS
National Provider Directory
National Provider DirectoryLocations
121 Inler Ave
Lubbock, TX 79416
Phone (806) 797-0412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1174556864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98044",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794998044",
"telephone_number": "806-797-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 INLER AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794169505",
"telephone_number": "806-797-0412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CARLISLE VOLUNTEER FIRE DEPARTMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "FIRE CHIEF, DIRECTOR EMS",
"authorized_official_telephone_number": "806-797-0412",
"authorized_official_credential": "RN, EMT-P"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "TX",
"license": "152018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146893601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "west carlisle Fire/EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lubbock, TX
- Edwin Clarence Wentz, D.D.S
- Garrett Wentz, OD
- Lisa McDaniel Wentz, D.D.S.
- Parker David Wentz, DDS
- Donald Everett Wesson, M.D.
- West Texas Allergy, Lubbock, PLLC
- West Texas Allergy, PA
- West Texas Audiology and Hearing Aid Center (The Hearing Docto)
- West Texas Clinical Pharmacy Associates, Inc.
- West Texas Developmental Pediatric & Behavorial Health Network, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.