1043298953 NPI number — MCMULLEN COUNTY EMERGENCY SERVICES

Table of content: (NPI 1043298953)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043298953 NPI number — MCMULLEN COUNTY EMERGENCY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCMULLEN COUNTY EMERGENCY SERVICES
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:
1043298953
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 444
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TILDEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78072-0444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 MESQUITE ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TILDEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78072-0444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-274-3213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SERRATA
Authorized Official First Name:
TINA
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
361-274-3213

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  156001 , 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: 000563901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com