Pecan Plantation Volunteer Fire Dept & Emergency Medical SVCS, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

111004 Issued in TX

Legal business name

PECAN PLANTATION VOLUNTEER FIRE DEPT & EMERGENCY MEDICAL SVCS, INC

Practice address

9518 Monticello Dr
Granbury, TX 76049-4508

Phone

(817) 573-1643

Fax

(817) 579-6888

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

James S Greif

Title

Executive Director

Phone

(817) 573-1643

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pecan Plantation EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1366548992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 MONTICELLO DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760494508",
            "telephone_number": "817-573-1643",
            "fax_number": "817-579-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 MONTICELLO DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760494508",
            "telephone_number": "817-573-1643",
            "fax_number": "817-579-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN PLANTATION VOLUNTEER FIRE DEPT & EMERGENCY MEDICAL SVCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "GREIF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-573-1643"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "111004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB561",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140463401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Plantation EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saloni Sharma Paudel, D.O.
• Paul J. Goldman,MD Diagnostic Clinic
• Corey Patrick Pavelka, LCSW
• PCG Consulting, Inc.
• Pearl Dentures and Dental Care, PLLC
• Pecan Prescription Shop LLC
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region
• Pecan Valley MHMR Region

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.