City of Kennedale

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

220046 Issued in TX

Legal business name

CITY OF KENNEDALE

Doing business as

Kennedale Fire Department

Practice address

100 Clover LN
Kennedale, TX 76060-2632

Phone

(817) 561-2237

Fax

(817) 561-2183

NPI assigned

Jul 23, 2006

Last updated

Feb 7, 2025By 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

Eric Peterson

Title

Chief

Phone

(817) 985-2151

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kennedale Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1700807625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MUNICIPAL DR",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602249",
            "telephone_number": "817-985-2150",
            "fax_number": "817-483-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLOVER LN",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602632",
            "telephone_number": "817-561-2237",
            "fax_number": "817-561-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KENNEDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "817-985-2151"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "220046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "507134",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000158801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedale Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Kennedale, TX
• Providers in Kennedale, 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 7, 2025; 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.