Rendon Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

220007 Issued in TX

Legal business name

RENDON VOLUNTEER FIRE DEPARTMENT

Practice address

12330 Rendon Rd
Burleson, TX 76028-3010

Phone

(817) 478-0221

Fax

(817) 561-9503

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Watson

Title

Assistant Chief

Phone

(817) 516-5051

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rendon Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1235150889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495548",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750495548",
            "telephone_number": "214-340-2650",
            "fax_number": "214-503-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 RENDON RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283010",
            "telephone_number": "817-478-0221",
            "fax_number": "817-561-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENDON VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "817-516-5051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "220007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000544901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "517819",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rendon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Burleson, TX
• Providers in Burleson, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.