City of Seguin

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

094005 Issued in TX

Legal business name

CITY OF SEGUIN

Doing business as

Seguin Fire/EMS

Practice address

660 S Highway 46
Seguin, TX 78155-4714

Phone

(830) 401-2321

NPI assigned

Apr 20, 2006

Last updated

Aug 24, 2021By 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

Clayton 'Dale' Skinner

Title

Fire Chief

Phone

(830) 401-2310

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Seguin Fire/EMS 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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1720044662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752646007",
            "telephone_number": "855-626-9660",
            "fax_number": "833-953-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S HIGHWAY 46",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554714",
            "telephone_number": "830-401-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SEGUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CLAYTON 'DALE'",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "830-401-2310"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "094005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "503066",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107742201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seguin Fire/EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seguin Fire/EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Seguin, TX
• Providers in Seguin, 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 24, 2021; 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.