1376734897 NPI number — HIDALGO COUNTY EMERGENCY SERVICE FOUNDATION

Table of content: (NPI 1376734897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376734897 NPI number — HIDALGO COUNTY EMERGENCY SERVICE FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIDALGO COUNTY EMERGENCY SERVICE FOUNDATION
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:
HIDALGO COUNTY EMS
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:
1376734897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
602 SAWYER ST STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77007-7510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-227-1092
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 W. ALBRAD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
PHARR
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-686-1224
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PONCE
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
956-227-1092

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , 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: 206104601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".