Organization Active NPI

West Carlisle Volunteer Fire Department, Inc.

Doing business as west carlisle Fire/EMS

  • Paramedic
  • Lubbock, TX
National Provider Identifier
1174556864
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
152018 Issued in TX
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

Updated by the provider on Jul 31, 2012

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)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
146893601MedicaidTX

Other names 1

  • west carlisle Fire/EMS Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.