Provider Demographics
NPI:1225270564
Name:URGENT RESPONSE EMERGENCY MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:URGENT RESPONSE EMERGENCY MEDICAL SERVICES, LLC
Other - Org Name:URGENT RESPONSE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIMMONS-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-521-3333
Mailing Address - Street 1:P.O. BOX 3109 #88725
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253
Mailing Address - Country:US
Mailing Address - Phone:713-521-3333
Mailing Address - Fax:713-683-0355
Practice Address - Street 1:810 CHELSEA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9704
Practice Address - Country:US
Practice Address - Phone:713-521-3333
Practice Address - Fax:713-683-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10002083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB846Medicare UPIN