Organization Active NPI

Northeast Midland County Volunteer Fire Department

  • Land Ambulance
  • Midland, TX
National Provider Identifier
1619461977
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000966 Issued in TX
Legal business name
NORTHEAST MIDLAND COUNTY VOLUNTEER FIRE DEPARTMENT
Practice address
3810 N County Road 1130
Midland, TX 79705
Phone
(432) 695-6879
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
April Copeland
Title
Credentialing Rep
Phone
(806) 787-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000966 TX Primary

Addresses

Primary practice location

3810 N County Road 1130
Midland, TX 79705

Mailing address

PO Box 10005
Midland, TX 79702-7005
Phone (432) 695-6879

Other identifiers 1

IdentifierTypeStateIssuer
1000966OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

3810 N County Road 1130
Midland, TX 79705
Phone (432) 695-6879

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1619461977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797027005",
            "telephone_number": "432-695-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N COUNTY ROAD 1130",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79705",
            "telephone_number": "432-695-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MIDLAND COUNTY VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CREDENTIALING REP",
        "authorized_official_telephone_number": "806-787-6764"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1000966",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.