NPIMap

Organization Active NPI

City of Balmorhea

  • Land Ambulance
  • Balmorhea, TX
National Provider Identifier
1336210905
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
195003 Issued in TX
Legal business name
CITY OF BALMORHEA
Practice address
310 S San Antonio
Balmorhea, TX 79718
Phone
(432) 375-2307
Fax
(432) 375-2200
NPI assigned
Nov 13, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mr. Richard Eugene Frederick Jr., EMT-P
Title
EMS Director
Phone
(432) 375-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 195003 TX Primary

Addresses

Primary practice location

310 S San Antonio
Balmorhea, TX 79718

Mailing address

PO Box 323
Balmorhea, TX 79718
Phone (432) 375-2307

Other identifiers 1

IdentifierTypeStateIssuer
000063001MedicaidTX

Other names 1

  • Balmorhea Volunteer EMS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1336210905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BALMORHEA",
            "state": "TX",
            "postal_code": "79718",
            "telephone_number": "432-375-2307",
            "fax_number": "432-375-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S SAN ANTONIO",
            "city": "BALMORHEA",
            "state": "TX",
            "postal_code": "79718",
            "telephone_number": "432-375-2307",
            "fax_number": "432-375-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BALMORHEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "432-375-2307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "195003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000063001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balmorhea Volunteer EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.