Miami Volunteer Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

197001 Issued in TX

Legal business name

MIAMI VOLUNTEER EMERGENCY MEDICAL SERVICE

Doing business as

Miami Volunteer EMS

Practice address

214 N Main St
Miami, TX 79059

Phone

(806) 868-3761

Fax

(806) 868-3381

NPI assigned

Oct 20, 2006

Last updated

Sep 12, 2023By 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

Jenna Anderson

Title

EMS Director

Phone

(806) 868-3761

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MIAMI VOLUNTEER EMS 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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1790867265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MIAMI",
            "state": "TX",
            "postal_code": "790590007",
            "telephone_number": "806-868-3761",
            "fax_number": "806-278-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST",
            "city": "MIAMI",
            "state": "TX",
            "postal_code": "79059",
            "telephone_number": "806-868-3761",
            "fax_number": "806-868-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VOLUNTEER EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "806-868-3761"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "197001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000497001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EMS ID NUMBER",
            "identifier": "197001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIAMI VOLUNTEER EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.