Provider Demographics
NPI:1134279425
Name:SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED
Entity Type:Organization
Organization Name:SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED
Other - Org Name:SAN MARCOS - HAYS COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-353-5115
Mailing Address - Street 1:2061 CLOVIS BARKER RD BLDG 10-B
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-1073
Mailing Address - Country:US
Mailing Address - Phone:512-353-5115
Mailing Address - Fax:512-353-1491
Practice Address - Street 1:2061 CLOVIS BARKER
Practice Address - Street 2:BUILDING 10-B
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-1073
Practice Address - Country:US
Practice Address - Phone:512-353-5115
Practice Address - Fax:512-353-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1050043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088212801Medicaid
TX590010570OtherRR MEDICARE
TX088212801Medicaid