Active NPI
City of Burleson
- Ambulance
- Burleson, TX
National Provider Identifier
1881473205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF BURLESON
- Practice address
- 828 SW Alsbury Blvd
Burleson, TX 76028-4087 - Phone
- (817) 426-9170
- NPI assigned
- Sep 25, 2023
- 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
- Casey Davis
- Title
- Assistant Fire Chief
- Phone
- (817) 422-2238
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
828 SW Alsbury Blvd
Burleson, TX 76028-4087
Mailing address
828 SW Alsbury Blvd
Burleson, TX 76028-4087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001090 | Other | TX | DSHS |
Other names 1
- Burleson Fire/EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231109000734 | TX | Part B Supplier - Ambulance Service Supplier | 0749637924 | Practice locations: Burleson, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1026385 | City of Burleson - Burleson Fire/EMS | Certificate of waiver | Jun 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
828 SW Alsbury Blvd
Burleson, TX 76028
Phone (817) 426-9170
245 Lakewood Dr
Burleson, TX 76028
Phone (817) 426-9170
250 E Hidden Creek Pkwy
Burleson, TX 76028
Phone (817) 426-9170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1881473205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 SW ALSBURY BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 SW ALSBURY BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284087",
"telephone_number": "817-426-9170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BURLESON",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
"authorized_official_telephone_number": "817-422-2238"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "1001090",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Burleson Fire/EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.