Active NPI
Somervell County Fire Department
- Ambulance
- Glen Rose, TX
National Provider Identifier
1225414832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 213004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912016106 | Other | TX | NOVITAS SOLUTIONS |
| 45D1027599 | Other | TX | CENTERS FOR MEDICARE AND MEDICAID SERVICES (CLIA) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1027599 | Somervell County Fire Department | Certificate of waiver | Jul 4, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Somervell
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Glen Rose, TX
- NPI 1912016106
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.