1467491704 NPI number — TERLINGUA FIRE & EMS, INC.

Table of content: (NPI 1467491704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467491704 NPI number — TERLINGUA FIRE & EMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TERLINGUA FIRE & EMS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TERLINGUA MEDICS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467491704
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TERLINGUA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79852-0290
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-371-2536
Provider Business Mailing Address Fax Number:
432-371-2546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23250 FARM ROAD 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TERLINGUA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79852-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-371-2536
Provider Business Practice Location Address Fax Number:
432-371-2546
Provider Enumeration Date:
06/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STATON
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRESIDENT, BOARD OF DIRECTORS
Authorized Official Telephone Number:
432-371-2536

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  800054 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 800054 . This is a "AMBULANCE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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