Organization Active NPI

City of Rowlett

Doing business as Rowlett Fire Rescue

  • Land Ambulance
  • Rowlett, TX
National Provider Identifier
1346388873
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
057067 Issued in TX
Legal business name
CITY OF ROWLETT
Doing business as
Rowlett Fire Rescue
Practice address
4000 Main St
Rowlett, TX 75088-5077
Phone
(972) 412-6231
Fax
(972) 412-6243
NPI assigned
Feb 5, 2007
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Stephen D Fattig
Title
Chief
Phone
(972) 412-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 057067 TX Primary

Addresses

Primary practice location

4000 Main St
Rowlett, TX 75088-5077

Mailing address

PO Box 99
Rowlett, TX 75030-0099
Phone (972) 412-6231

Other identifiers 3

IdentifierTypeStateIssuer
1346388873MedicaidTX
507100OtherTXBLUE CROSS BLUE SHIELD
590000648OtherTXRAILROAD MEDICARE

Other names 1

  • Rowlett 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
O20111013000634 TX Part B Supplier - Ambulance Service Supplier 1456523521 Practice locations: Rowlett, TX

National Provider Directory

National Provider Directory

Locations

4000 Main St
Rowlett, TX 75088
Phone (214) 412-6100

4004 Main St
Rowlett, TX 75088

4701 Rowlett Rd
Rowlett, TX 75088
Phone (972) 412-6230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1346388873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750300099",
            "telephone_number": "972-412-6231",
            "fax_number": "972-412-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MAIN ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885077",
            "telephone_number": "972-412-6231",
            "fax_number": "972-412-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROWLETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "FATTIG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "972-412-6230"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "057067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346388873",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "507100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rowlett Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.