Organization Active NPI

Town of Fairview

Doing business as Fairview Fire & Rescue

  • Land Ambulance
  • Fairview, TX
National Provider Identifier
1174919286
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000940 Issued in TX
Legal business name
TOWN OF FAIRVIEW
Doing business as
Fairview Fire & Rescue
Practice address
510 S Hwy 5
Fairview, TX 75069-9425
Phone
(877) 602-2060
Fax
(903) 887-1863
NPI assigned
Apr 15, 2015
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Jeff Bell
Title
Chief
Phone
(972) 886-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000940 TX Primary

Addresses

Primary practice location

510 S Hwy 5
Fairview, TX 75069-9425

Mailing address

PO Box 612064
Dallas, TX 75261-2064
Phone (972) 886-4225

Other identifiers 1

IdentifierTypeStateIssuer
1000940OtherTXTDH LICENSE

Other names 1

  • Fairview Fire & Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150617001927 TX Part B Supplier - Ambulance Service Supplier 3870804875 Practice locations: Fairview, TX

National Provider Directory

National Provider Directory

Locations

500 S Highway 5
Fairview, TX 75069

510 S Highway 5
Fairview, TX 75069
Phone (972) 886-4225

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1174919286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612064",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752612064",
            "telephone_number": "972-886-4225",
            "fax_number": "903-887-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S HWY 5",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750699425",
            "telephone_number": "877-602-2060",
            "fax_number": "903-887-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF FAIRVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "972-886-4238"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDH LICENSE",
            "identifier": "1000940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.