Organization Active NPI

Town of Pantego

Doing business as Pantego Fire-Rescue

  • Ambulance
  • Pantego, TX
National Provider Identifier
1295756831
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
220026 Issued in TX
Legal business name
TOWN OF PANTEGO
Doing business as
Pantego Fire-Rescue
Practice address
1614 S Bowen Rd
Pantego, TX 76013-3336
Phone
(817) 274-1384
Fax
(817) 274-2511
NPI assigned
Jul 21, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Thomas Griffith
Title
Fire Chief
Phone
(817) 274-1384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 220026 TX Primary

Addresses

Primary practice location

1614 S Bowen Rd
Pantego, TX 76013-3336

Mailing address

1614 S Bowen Rd
Pantego, TX 76013-3336
Phone (817) 274-1384

Other identifiers 1

IdentifierTypeStateIssuer
504891OtherTXBC/BS OF TEXAS

Other names 1

  • Pantego Fire-Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000967 TX Part B Supplier - Ambulance Service Supplier 6608827951 Practice locations: Pantego, TX

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
45D1027600Pantego Fire and Rescue1614 S Bowen Rd, Pantego, TX 76013Certificate of waiverJul 4, 2026

National Provider Directory

National Provider Directory

Locations

1614 S Bowen Rd
Pantego, TX 76013
Phone (800) 987-1309

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1295756831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S BOWEN RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133336",
            "telephone_number": "817-274-1384",
            "fax_number": "817-274-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 S BOWEN RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133336",
            "telephone_number": "817-274-1384",
            "fax_number": "817-274-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PANTEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "817-274-1384"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "220026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "504891",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pantego Fire-Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pantego, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.