Provider Demographics
NPI:1073823357
Name:HOPE EMERGENCY AMBULANCE SERVICE AND TRANSPORT
Entity Type:Organization
Organization Name:HOPE EMERGENCY AMBULANCE SERVICE AND TRANSPORT
Other - Org Name:HOPE E.A.S.T.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:281-650-4854
Mailing Address - Street 1:2925 GULF FWY S
Mailing Address - Street 2:STE B304
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6768
Mailing Address - Country:US
Mailing Address - Phone:281-948-7104
Mailing Address - Fax:281-984-7460
Practice Address - Street 1:15255 GULF FWY
Practice Address - Street 2:STE F116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5365
Practice Address - Country:US
Practice Address - Phone:281-948-7104
Practice Address - Fax:281-984-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2805269Medicaid
TX2805269OtherMEDICAID CSHCN
TX2805269OtherMEDICAID CSHCN