Organization Active NPI

City of Fort Worth Controller

Doing business as Fort Worth Fire Department

  • Land Ambulance
  • Fort Worth, TX
National Provider Identifier
1629871512
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF FORT WORTH CONTROLLER
Doing business as
Fort Worth Fire Department
Practice address
2900 Alta Mere Dr
Fort Worth, TX 76116-4115
Phone
(817) 392-8676
Fax
(817) 392-8612
NPI assigned
Mar 28, 2025
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Anthony Rousseau
Title
Deputy Finance Director
Phone
(817) 392-8676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

2900 Alta Mere Dr
Fort Worth, TX 76116-4115

Mailing address

100 Fort Worth TRL
Fort Worth, TX 76102-2661

Other names 1

  • Fort Worth Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514000063 TX Part B Supplier - Ambulance Service Supplier 5597283580 Practice locations: Fort Worth, 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
45D2198589Fort Worth Fire Department2900 Alta Mere Dr, Fort Worth, TX 76116AccreditationFeb 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
City of Fort Worth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Fort Worth Trl
Fort Worth, TX 76102

505 W Felix St
Fort Worth, TX 76115
Phone (817) 392-4200

2900 Alta Mere Dr
Ft Worth, TX 76116
Phone (817) 392-6801

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1629871512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FORT WORTH TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164115",
            "telephone_number": "817-392-8676",
            "fax_number": "817-392-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FORT WORTH CONTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DEPUTY FINANCE DIRECTOR",
        "authorized_official_telephone_number": "817-392-8676"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Worth Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Worth Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.