Organization Active NPI

Medic Rescue Inc

  • Land Ambulance
  • Rockwall, TX
National Provider Identifier
1548342108
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
300100 Issued in TX
Legal business name
MEDIC RESCUE INC
Doing business as
Rockwall County EMS
Practice address
809 S Goliad St
Rockwall, TX 75087-3933
Phone
(972) 772-4148
Fax
(972) 772-0331
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Mitchell Ownby
Title
Vice President
Phone
(972) 772-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300100 TX Primary

Addresses

Primary practice location

809 S Goliad St
Rockwall, TX 75087-3933

Mailing address

PO Box 863
Lewisville, NC 27023-0863

Other identifiers 1

IdentifierTypeStateIssuer
0006165-01MedicaidTX

Other names 1

  • Rockwall County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000598 TX Part B Supplier - Ambulance Service Supplier 0840462917 Practice locations: Rockwall, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1027886Rockwall County EMS Station 1809 S Goliad Street, Rockwall, TX 75087Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

809 S Goliad St
Rockwall, TX 75087
Phone (972) 772-0330

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1548342108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873933",
            "telephone_number": "972-772-4148",
            "fax_number": "972-772-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "OWNBY",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-772-4148"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006165-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.