Organization Name: | ALPHA RESCUE EMS |
NPI Number: | 1790911774 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAM WILLARD MCCOY (OWNER) |
Mailing Address: | 222 E Durdin Dr Silsbee |
State: | TX US |
Postal Code: | 776566400 |
Phone Number: | 4093858705 |
Fax Number: | 4093858707 |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 07/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |