City of Coppell Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

057015 Issued in TX

Legal business name

CITY OF COPPELL FIRE DEPARTMENT

Practice address

500 Southwestern Blvd
Coppell, TX 75019-9826

Phone

(972) 304-3512

Fax

(972) 304-3514

NPI assigned

Sep 11, 2006

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Witt

Title

City Manager

Phone

(972) 304-3618

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1568566610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-304-3693",
            "fax_number": "972-304-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTHWESTERN BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199826",
            "telephone_number": "972-304-3512",
            "fax_number": "972-304-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COPPELL FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "972-304-3618"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "057015",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "057015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Chu, RPH
• Kerry Chu, PT, DPT
• Bora Chung
• Nancy Meongju Chung, M.D.
• Olivia R Ciraulo
• Chandler Clark, PTA
• Joshua Maxson Clark, MD
• Kelsey Anne Clark
• Nathan Clark
• Clear Vision Associates PLLC

• Ambulance in Coppell, TX
• Providers in Coppell, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.