Provider Demographics
NPI:1043434962
Name:MEDICINE-ON-THE-GO EMS-S-INCORPORATED
Entity Type:Organization
Organization Name:MEDICINE-ON-THE-GO EMS-S-INCORPORATED
Other - Org Name:MEDICINE ON THE GO EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-382-0702
Mailing Address - Street 1:PO BOX 739
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-0739
Mailing Address - Country:US
Mailing Address - Phone:409-382-0702
Mailing Address - Fax:
Practice Address - Street 1:10919 FAIRCROFT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-1828
Practice Address - Country:US
Practice Address - Phone:409-382-0702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800096341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance