Provider Demographics
NPI:1043218019
Name:MEDIX HEALTHCARE
Entity Type:Organization
Organization Name:MEDIX HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIALDONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-375-1234
Mailing Address - Street 1:PO BOX 782227
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2227
Mailing Address - Country:US
Mailing Address - Phone:210-375-1234
Mailing Address - Fax:210-375-1239
Practice Address - Street 1:3201 CHERRY RIDGE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4825
Practice Address - Country:US
Practice Address - Phone:210-375-1234
Practice Address - Fax:210-375-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB013Medicare ID - Type Unspecified