Provider Demographics
NPI:1033437405
Name:SHURMED EMERGENCY MEDICAL SERVICE LLC
Entity Type:Organization
Organization Name:SHURMED EMERGENCY MEDICAL SERVICE LLC
Other - Org Name:SHURMED EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-432-8800
Mailing Address - Street 1:1535 BRADY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237-4355
Mailing Address - Country:US
Mailing Address - Phone:210-432-8800
Mailing Address - Fax:210-432-8801
Practice Address - Street 1:1535 BRADY BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-4355
Practice Address - Country:US
Practice Address - Phone:210-432-8800
Practice Address - Fax:210-432-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance