Organization Active NPI

City of Marfa

Doing business as Marfa City-County EMS

  • Ambulance
  • Marfa, TX
National Provider Identifier
1932309606
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF MARFA
Doing business as
Marfa City-County EMS
Practice address
113 S Highland Ave
Marfa, TX 79843
Phone
(432) 729-3151
Fax
(432) 729-3158
NPI assigned
Jul 20, 2007
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Jessie Dave Pena
Title
EMS Director
Phone
(432) 295-1212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

113 S Highland Ave
Marfa, TX 79843

Mailing address

113 S Highland Ave
PO Box 787
Marfa, TX 79843
Phone (432) 729-3151

Other identifiers 3

IdentifierTypeStateIssuer
1932309606OtherTXBCBS TEXAS
590549305OtherTXRAILROAD MEDICARE
1932309606MedicaidTX

Other names 1

  • Marfa City-County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000131 TX Part B Supplier - Ambulance Service Supplier 4385804921 Practice locations: Marfa, TX

National Provider Directory

National Provider Directory

Locations

113 S Highland Ave
Marfa, TX 79843
Phone (432) 295-1212

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1932309606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S HIGHLAND AVE",
            "address_2": "PO BOX 787",
            "city": "MARFA",
            "state": "TX",
            "postal_code": "79843",
            "telephone_number": "432-729-3151",
            "fax_number": "432-729-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S HIGHLAND AVE",
            "city": "MARFA",
            "state": "TX",
            "postal_code": "79843",
            "telephone_number": "432-729-3151",
            "fax_number": "432-729-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MARFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "DAVE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "432-295-1212"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "1932309606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590549305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932309606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marfa City-County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marfa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.