Olton Volunteer Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

140005 Issued in TX

Legal business name

OLTON VOLUNTEER AMBULANCE ASSOCIATION INC

Doing business as

Olton EMS

Practice address

610 8TH St
Olton, TX 79064

Phone

(806) 487-6730

Fax

(806) 487-6714

NPI assigned

Dec 11, 2006

Last updated

Jul 14, 2016By 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

Dana Jo Lambert, EMTP

Title

Mis

Phone

(806) 487-6730

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Olton EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1306906276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790641087",
            "telephone_number": "806-487-6730",
            "fax_number": "806-487-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 8TH ST",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "79064",
            "telephone_number": "806-487-6730",
            "fax_number": "806-487-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLTON VOLUNTEER AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MIS",
        "authorized_official_telephone_number": "806-487-6730",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "140005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000107501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "105209100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olton EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reagan Moyer, SLP
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• Spain Family Chiropractic
• Erin Spain, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.