Preston Volunteer Emergency Service, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

91007 Issued in TX

Legal business name

PRESTON VOLUNTEER EMERGENCY SERVICE, INC

Doing business as

Preston EMS

Practice address

14691 Highway 120 N
Pottsboro, TX 75076-3348

Phone

(903) 786-3010

Fax

(903) 786-9889

NPI assigned

Jul 21, 2006

Organization subpart

Yes

Parent organization

PRESTON VOLUNTEER EMERGENCY SERVICE, INC.As reported in NPPES

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

Authorized official

Name

Alvin Carroll Shields Jr.

Title

EMS Director

Phone

(903) 786-3010

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Preston EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Preston Volunteer Emerg

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1295755106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14691 HIGHWAY 120 N",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750763348",
            "telephone_number": "903-786-3010",
            "fax_number": "903-786-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14691 HIGHWAY 120 N",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750763348",
            "telephone_number": "903-786-3010",
            "fax_number": "903-786-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON VOLUNTEER EMERGENCY SERVICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTON VOLUNTEER EMERGENCY SERVICE, INC.",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "903-786-3010",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "91007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "AMB536",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AMB536",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148444601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preston EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Renee Morrison-Peippo, PHARMD
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• Mark Frederick Peippo, RPH
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• Deborah Diane Ritchie
• Ashley Nicole Robinson
• Roma K Robinson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.