The Eagle Mountain Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

220033 Issued in TX

Legal business name

THE EAGLE MOUNTAIN VOLUNTEER FIRE DEPARTMENT

Practice address

9500 Live Oak LN
Fort Worth, TX 76179-4061

Phone

(866) 398-8999

Fax

(866) 724-5995

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Michael Barton

Title

Fire Chief

Phone

(817) 236-8044

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eagle Mountain Fire Department Doing business as

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1619998564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 LIVE OAK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794061",
            "telephone_number": "817-236-8044",
            "fax_number": "817-236-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LIVE OAK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794061",
            "telephone_number": "866-398-8999",
            "fax_number": "866-724-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAGLE MOUNTAIN VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "817-236-8044"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "220033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "507572",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000178601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Mountain Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Centre for Pastoral Care and Counseling
• The Chatterbox Speech and Language Company PLLC
• The Clinic for Special Surgery
• The Compass Medical Solutions LLC
• The Coop Initiative LLC
• The Emergency Center at West 7TH LLC
• The Enrichment Place
• The Fort Worth Clinic PA
• The Full Spectrum Child
• The Gift Enterprises

• Land Ambulance in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.