Organization Active NPI

Hamshire Voluntary Fire Department, Inc.

  • Ambulance
  • Hamshire, TX
National Provider Identifier
1881676773
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
123004 Issued in TX
Legal business name
HAMSHIRE VOLUNTARY FIRE DEPARTMENT, INC.
Practice address
12393 2ND Street
Hamshire, TX 77622-9400
Phone
(409) 243-2311
Fax
(409) 243-2113
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Mrs. Carolyn S Hurych
Title
Director
Phone
(409) 243-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 123004 TX Primary

Addresses

Primary practice location

12393 2ND Street
Hamshire, TX 77622-9400

Mailing address

PO Box 10245
2800 Beaumont Ave
Liberty, TX 77575-7745
Phone (409) 243-2311

Other identifiers 1

IdentifierTypeStateIssuer
088226801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000297 TX Part B Supplier - Ambulance Service Supplier 3173699055 Practice locations: Hamshire, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1881676773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10245",
            "address_2": "2800 BEAUMONT AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775757745",
            "telephone_number": "409-243-2311",
            "fax_number": "409-243-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 2ND STREET",
            "city": "HAMSHIRE",
            "state": "TX",
            "postal_code": "776229400",
            "telephone_number": "409-243-2311",
            "fax_number": "409-243-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMSHIRE VOLUNTARY FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "HURYCH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-243-2311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "123004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088226801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamshire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.