West Voluntary Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

300039 Issued in TX

Legal business name

WEST VOLUNTARY AMBULANCE ASSOCIATION

Doing business as

West Volunteer Emergency Medical Service

Practice address

411 Meadow Dr
Box 461
West, TX 76691-1033

Phone

(254) 826-3779

Fax

(254) 826-3149

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tom Edwin Marek, PARAMEDIC

Title

Director of Operations

Phone

(254) 826-3779

Specialties & licenses 1

Addresses

Other names 1

• West Volunteer Emergency Medical Service 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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1689713729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MEADOW DR",
            "address_2": "P.O. BOX 461",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911033",
            "telephone_number": "254-826-3779",
            "fax_number": "254-826-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MEADOW DR",
            "address_2": "BOX 461",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911033",
            "telephone_number": "254-826-3779",
            "fax_number": "254-826-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VOLUNTARY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "254-826-3779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Volunteer Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Michele Wilson, LVN
• Sharon Wilson, LO
• Avery Kirk Wines, R PH
• Amanda Zahirniak, LPC

• Land Ambulance in West, TX
• Providers in West, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.