Active NPI
Medic Rescue Inc
- Land Ambulance
- Rockwall, TX
National Provider Identifier
1548342108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 300100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006165-01 | Medicaid | TX |
Other names 1
- Rockwall County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111013000598 | TX | Part B Supplier - Ambulance Service Supplier | 0840462917 | Practice locations: Rockwall, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1027886 | Rockwall County EMS Station 1 | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.