Organization Active NPI

Southeast Volunteer Fire Department

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1417977356
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHEAST VOLUNTEER FIRE DEPARTMENT
Practice address
10510 Scarsdale Blvd
Houston, TX 77089-5734
Phone
(832) 309-4594
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Robert Zolan
Title
EMS Chief
Phone
(832) 309-4594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10510 Scarsdale Blvd
Houston, TX 77089-5734

Mailing address

PO Box 224783
Dallas, TX 75222-4783
Phone (832) 309-4594

Other identifiers 2

IdentifierTypeStateIssuer
1417977356MedicaidTX
515284OtherTXBC/BS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201001018 TX Part B Supplier - Ambulance Service Supplier 5496706079 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10510 Scarsdale Blvd
Houston, TX 77089
Phone (713) 858-7111

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1417977356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224783",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752224783",
            "telephone_number": "832-309-4594",
            "fax_number": "800-353-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 SCARSDALE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895734",
            "telephone_number": "832-309-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ZOLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "832-309-4594"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417977356",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "515284",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.