Active NPI
City of Marfa
Doing business as Marfa City-County EMS
- Ambulance
- Marfa, TX
National Provider Identifier
1932309606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2024
- 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
- Jessie Dave Pena
- Title
- EMS Director
- Phone
- (432) 295-1212
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932309606 | Other | TX | BCBS TEXAS |
| 590549305 | Other | TX | RAILROAD MEDICARE |
| 1932309606 | Medicaid | TX |
Other names 1
- Marfa City-County 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 |
|---|---|---|---|---|
| O20120320000131 | TX | Part B Supplier - Ambulance Service Supplier | 4385804921 | Practice locations: Marfa, TX |
National Provider Directory
National Provider DirectoryLocations
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.