Justin Volunteer Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

061017 Issued in TX

Legal business name

JUSTIN VOLUNTEER FIRE DEPARTMENT

Practice address

310 N Sealy Ave
Justin, TX 76247

Phone

(940) 648-2561

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bill Mitchell

Title

Fire Chief

Phone

(940) 395-0546

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Justin Community Volunteer Fire Dept., Inc. Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Justin Vol Fire Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Justin Community Volunteer Fire Department Inc.

  • Ambulance
  • Justin, TX
  • NPI 1891795886
  NPD tax ID

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1831229384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700847",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753700847",
            "telephone_number": "972-250-2023",
            "fax_number": "972-250-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N SEALY AVE",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-648-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "940-395-0546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "061017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000745201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TX",
            "identifier": "AMB542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590014158",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AMB117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justin Community Volunteer Fire Dept., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Raechelle Judge, DC, BS
• Justin Community Volunteer Fire Department Inc.
• Justin Family Dentistry, PA
• Justin Family Medical
• Justin Family Medical, PA
• Kamali Chiropractic
• Mojgan Megan Kamali, DC
• April L Kaneira, DDS
• Clayton Allan Kendrick I
• Olivia June Kenyon, DPT, PT

• All providers in Justin, TX
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.