Provider Demographics
NPI:1083765473
Name:LIFESAVERS EMS INC
Entity Type:Organization
Organization Name:LIFESAVERS EMS INC
Other - Org Name:LIFESAVERS EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-770-3293
Mailing Address - Street 1:23579 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-6645
Mailing Address - Country:US
Mailing Address - Phone:281-770-3293
Mailing Address - Fax:
Practice Address - Street 1:23579 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-6645
Practice Address - Country:US
Practice Address - Phone:281-770-3293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB872OtherBCBS PROVIDER NUMBER
TXAMB872OtherBCBS PROVIDER NUMBER