Canyon Lake Fire/EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

046001 Issued in TX

Legal business name

CANYON LAKE FIRE/EMS

Practice address

1425 Sattler Rd
Canyon Lake, TX 78132-2213

Phone

(830) 907-2922

Fax

(830) 907-2408

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Michael Wherry, FF/EMT-P

Title

Chief

Phone

(830) 907-2922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1932199148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2140",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781330024",
            "telephone_number": "830-907-2922",
            "fax_number": "830-907-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 SATTLER RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781322213",
            "telephone_number": "830-907-2922",
            "fax_number": "830-907-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKE FIRE/EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "WHERRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "830-907-2922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FF/EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "046001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Callahan
• Danny Lopez Campos, APRN, MSN, FNP-C
• Tammy Cantu, LPC
• Canyon Lake Dental PLLC
• Canyon Lake Family Dental Care, PLLC
• Canyon Lake Medical Clinic
• Canyon Lake Senior Home Care Inc.
• Camille Mari Coffey, LPC
• Christy Cole, LVN
• Comal County Emergency Services District 2

• Land Ambulance in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.