City of Kirby

Primary specialty

AmbulanceTaxonomy code 341600000X

License

015026 Issued in TX

Legal business name

CITY OF KIRBY

Doing business as

Kirby Fire EMS

Practice address

5560 Duffek
Kirby, TX 78219

Phone

(210) 661-2612

Fax

(210) 661-8074

NPI assigned

Jun 21, 2007

Last updated

Dec 23, 2011By 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

Mr. Laird D Bretz, EMS-CAPTAIN

Title

EMS Administrator

Phone

(210) 661-2612

Specialties & licenses 1

Addresses

Other names 1

• Kirby 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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1851597538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BAUMAN ST",
            "city": "KIRBY",
            "state": "TX",
            "postal_code": "782191004",
            "telephone_number": "210-661-2612",
            "fax_number": "210-661-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 DUFFEK",
            "city": "KIRBY",
            "state": "TX",
            "postal_code": "78219",
            "telephone_number": "210-661-2612",
            "fax_number": "210-661-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIRBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "LAIRD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS ADMINISTRATOR",
        "authorized_official_telephone_number": "210-661-2612",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMS-CAPTAIN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "015026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirby Fire EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arrived Transport LLC.
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• Sheila Michaud, LCSW
• Melissa Sayles, LVN

• Ambulance in Kirby, TX
• Providers in Kirby, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.