County of Reagan

Primary specialty

AmbulanceTaxonomy code 341600000X

License

192001 Issued in TX

Legal business name

COUNTY OF REAGAN

Doing business as

Big Lake Fire Department
Reagan County Fire & EMS

Practice address

811 N Main Ave
Big Lake, TX 76932-3938

Phone

(325) 884-3650

Fax

(325) 884-3396

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Romero Young

Title

EMS Director

Phone

(325) 884-4151

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Big Lake Fire Department Doing business as
• Reagan County Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Reagan County Home Delivered Meals3 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.

• Reagan County Home Delivered Meals

  dba TrailBlazers

  • Home Delivered Meals
  • Big Lake, TX
  • NPI 1386831303
  NPD tax ID
• Reagan County Home Delivered Meals

  dba Trailblazers

  • Home Delivered Meals
  • Big Lake, TX
  • NPI 1386832350
  NPD tax ID

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1740219427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323938",
            "telephone_number": "325-884-3650",
            "fax_number": "325-884-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MAIN AVE",
            "city": "BIG LAKE",
            "state": "TX",
            "postal_code": "769323938",
            "telephone_number": "325-884-3650",
            "fax_number": "325-884-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF REAGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ROMERO",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "325-884-4151"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "192001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DSHS",
            "identifier": "192001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148679701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590015344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Lake Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reagan County Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Bushnell, RN, NP-C
• Deana Davis
• Friends' Pharmacy LLC (neighborhood pharmacy)
• Shelbi Sarae Gunnels
• Bruce D Hagmann, R,PH., M.SC.,
• Ethel Olivia King, FNP

• Ambulance in Big Lake, TX
• Providers in Big Lake, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.