1801983069 NPI number — VALLEY EMS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801983069 NPI number — VALLEY EMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY 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:
Provider Other Organization Name Type Code:
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:
1801983069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3294
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDINBURG
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78540-3294
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-381-1898
Provider Business Mailing Address Fax Number:
956-381-0552

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1615 S CLOSNER BLVD
Provider Second Line Business Practice Location Address:
SUITE J
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-5718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-381-1898
Provider Business Practice Location Address Fax Number:
956-381-0552
Provider Enumeration Date:
10/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMON
Authorized Official First Name:
DIANA
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE SECRETARY
Authorized Official Telephone Number:
956-381-1898

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  108014 , 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: AMB503 . This is a "BLUE CROSS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000681902 . This is a "CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 590012028 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000681901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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