Spicewood Volunteer Fire Department Emergency Medical Services, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

027009 Issued in TX

Legal business name

SPICEWOOD VOLUNTEER FIRE DEPARTMENT EMERGENCY MEDICAL SERVICES, INC

Practice address

9805 Hwy 71 E
Spicewood, TX 78669-4081

Phone

(830) 693-7136

Fax

(830) 798-0446

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Donna M Wall

Title

Secretary

Phone

(830) 693-4726

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1467576959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691363",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691363",
            "telephone_number": "281-397-0397",
            "fax_number": "281-397-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 HWY 71 E",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786694081",
            "telephone_number": "830-693-7136",
            "fax_number": "830-798-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICEWOOD VOLUNTEER FIRE DEPARTMENT EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "830-693-4726"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "027009",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "027009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Sengbusch, DDS
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• Land Ambulance in Spicewood, TX
• Providers in Spicewood, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.