City of Devine Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

163004 Issued in TX

Legal business name

CITY OF DEVINE AMBULANCE SERVICE

Practice address

303 S Teel Dr
Devine, TX 78016-3211

Phone

(830) 663-2121

Fax

(830) 663-2500

NPI assigned

Jan 2, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mike Farris, LIC-P

Title

Administrator

Phone

(830) 663-2121

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1255498952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S TEEL DR",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780163211",
            "telephone_number": "830-663-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S TEEL DR",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780163211",
            "telephone_number": "830-663-2121",
            "fax_number": "830-663-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DEVINE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-663-2121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "163004",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "163004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFED",
            "identifier": "504280",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "504280",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Burnside
• Tania Cantin
• Sara Michelle Castleberry, LCDC
• Chapa Residential Care Home
• Veronica Elaine Chapa, LVN
• Conoly Drug Inc of Devine Inc (Conoly Drug Healthmart)
• Cruz Personal Care Home
• Cruz Personal Care Home, LLC (Cruz Personal Care Home)
• Brittny Cummings
• Carlos J De Jesus, RN

• Land Ambulance in Devine, TX
• Providers in Devine, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.