Organization Active NPI

Somervell County Fire Department

  • Ambulance
  • Glen Rose, TX
National Provider Identifier
1225414832
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
213004 Issued in TX
Legal business name
SOMERVELL COUNTY FIRE DEPARTMENT
Practice address
111 Shepard Street
Glen Rose, TX 76043-4861
Phone
(254) 897-2135
Fax
(254) 897-4568
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Mark Crawford
Title
Fire Chief
Phone
(817) 690-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 213004 TX Primary

Addresses

Primary practice location

111 Shepard Street
Glen Rose, TX 76043-4861

Mailing address

111 Shepard Street
Glen Rose, TX 76043-4861
Phone (254) 897-2135

Other identifiers 2

IdentifierTypeStateIssuer
1912016106OtherTXNOVITAS SOLUTIONS
45D1027599OtherTXCENTERS FOR MEDICARE AND MEDICAID SERVICES (CLIA)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1027599Somervell County Fire Department111 Shepard St, Glen Rose, TX 76043Certificate of waiverJul 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Somervell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 Sheppard St
Glen Rose, TX 76043
Phone (254) 897-2135

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1225414832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHEPARD STREET",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434861",
            "telephone_number": "254-897-2135",
            "fax_number": "254-897-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHEPARD STREET",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434861",
            "telephone_number": "254-897-2135",
            "fax_number": "254-897-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVELL COUNTY FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "817-690-6163"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "213004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVITAS SOLUTIONS",
            "identifier": "1912016106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERS FOR MEDICARE AND MEDICAID SERVICES  (CLIA)",
            "identifier": "45D1027599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rose, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.