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CANYON LAKE FIRE/EMS
NPI 1932199148
Ambulance - Land Transport in Canyon Lake, TX

Active since October 27, 2005CLIA 45D1030938 · Waiver
1425 SATTLER RD, CANYON LAKE, TX 78132(830) 907-2922(830) 907-2408 Get Directions Write a Review

NPPES record last updated: April 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Lake Fire/ems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON LAKE FIRE/EMS (NPI 1932199148) is a healthcare organization registered as a land transport in Canyon Lake, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Shawn Michael Wherry, Chief, as its authorized official.

NPPES Registry Identity

NPI1932199148
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCANYON LAKE FIRE/EMS
Location Address1425 SATTLER RDCanyon Lake, TX 78132-2213
Mailing AddressPo Box 2140Canyon Lake, TX 78133-0024 · (830) 907-2922 · Fax (830) 907-2408
Phone(830) 907-2922
Fax(830) 907-2408
Organization SubpartNo
Authorized OfficialShawn Michael WherryChief · (830) 907-2922
Enumeration DateOctober 27, 2005
Last NPPES UpdateApril 10, 2009
✔ NPI 1932199148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in TX · 046001
1425 SATTLER RD, Canyon Lake, TX 78132
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN504587TX
Medicare PIN826590449TX
Medicaid000027501TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1030938

Canyon Lake Fire/Ems · Canyon Lake, TX
Active · expires Sep 20, 2026
CLIA Number45D1030938
Laboratory TypeAmbulance
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorBrandon Kludt
Laboratory Phone(830) 907-2922
Laboratory LocationCanyon Lake Fire/Ems1074 Scissortail, Canyon Lake, TX 78133
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Lake Fire/Ems's NPI number?

The NPI number for Canyon Lake Fire/Ems is 1932199148. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Canyon Lake Fire/Ems located?

Canyon Lake Fire/Ems is located at 1425 Sattler Rd, Canyon Lake, TX 78132. The listed phone number is (830) 907-2922.

What is Canyon Lake Fire/Ems's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Canyon Lake Fire/Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1030938) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canyon Lake Fire/Ems was last updated on April 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.