| Organization Name: | TRI CITY EMERGENCY MEDICAL SERVICE INC |
| NPI Number: | 1487907143 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES E DICKSON (EMS COORDINATOR) |
| Mailing Address: | 111 East Crockett St Gordon |
| State: | TX US |
| Postal Code: | 76453 |
| Phone Number: | 9408593488 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2012 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 182005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |