Active NPI
City of Thorndale
- Ambulance
- Thorndale, TX
National Provider Identifier
1861496473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1661001
- Legal business name
- CITY OF THORNDALE
- Practice address
- 105 N Main
Thorndale, TX 76577 - Phone
- (512) 898-2523
- Fax
- (816) 431-4973
- NPI assigned
- Jun 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darrell Towery
- Title
- EMS Coordinator
- Phone
- (512) 898-2523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1661001 | TX | Primary |
Addresses
Primary practice location
105 N Main
Thorndale, TX 76577
Mailing address
PO Box 308
Thorndale, TX 76577-0308
Phone (512) 898-2523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502598 | Other | TX | BCBS TX |
| 167052301 | Medicaid | TX |
Other names 1
- Thorndale Volunteer EMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1861496473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "THORNDALE",
"state": "TX",
"postal_code": "765770308",
"telephone_number": "512-898-2523",
"fax_number": "816-431-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N MAIN",
"city": "THORNDALE",
"state": "TX",
"postal_code": "76577",
"telephone_number": "512-898-2523",
"fax_number": "816-431-4973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF THORNDALE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "TOWERY",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "512-898-2523"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1661001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "502598",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167052301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thorndale Volunteer EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Thorndale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.