NPIMap

Organization Active NPI

Wylie Fire-Rescue

  • Land Ambulance
  • Wylie, TX
National Provider Identifier
1912229444
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
300262 Issued in TX
Legal business name
WYLIE FIRE-RESCUE
Practice address
801A South Hwy. 78
204
Wylie, TX 75098
Phone
(972) 442-8110
Fax
(972) 442-8113
NPI assigned
Feb 25, 2010
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mr. Robert Lynn Ballard
Title
Administrative Captain
Phone
(972) 442-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 300262 TX Primary

Addresses

Primary practice location

801A South Hwy. 78
204
Wylie, TX 75098

Mailing address

801A South Hwy. 78
204
Wylie, TX 75098
Phone (972) 442-8110

Other identifiers 1

IdentifierTypeStateIssuer
300262OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER NUMBER

Other names 1

  • Wylie Fire Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Wylie Fire-Rescue2 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.

Locations

801 S Highway 78
Ste 204
Wylie, TX 75098
Phone (972) 442-8110

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1912229444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801A SOUTH HWY. 78",
            "address_2": "204",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-442-8110",
            "fax_number": "972-442-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801A SOUTH HWY. 78",
            "address_2": "204",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-442-8110",
            "fax_number": "972-442-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE FIRE-RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE CAPTAIN",
        "authorized_official_telephone_number": "972-442-8110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES EMS PROVIDER NUMBER",
            "identifier": "300262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.