White Deer Volunteer EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

033004 Issued in TX

Legal business name

WHITE DEER VOLUNTEER EMS

Doing business as

White Deer EMS

Practice address

309 W. 2ND Street
White Deer, TX 79097-0366

Phone

(806) 883-2288

Fax

(806) 883-2008

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ladonna Kay Bradley, EMT-PARAMEDIC

Title

Director of White Deer Volunteer Em

Phone

(806) 676-7610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Deer EMS Doing business as

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1386627685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 366",
            "address_2": "STE 205",
            "city": "WHITE DEER",
            "state": "TX",
            "postal_code": "790970366",
            "telephone_number": "806-883-2288",
            "fax_number": "806-883-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W. 2ND STREET",
            "city": "WHITE DEER",
            "state": "TX",
            "postal_code": "790970366",
            "telephone_number": "806-883-2288",
            "fax_number": "806-883-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DEER VOLUNTEER EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF WHITE DEER VOLUNTEER EM",
        "authorized_official_telephone_number": "806-676-7610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "033004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000530801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Deer EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Kathryn Omalley, LVN

• Ambulance in White Deer, TX
• Providers in White Deer, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.