Provider Demographics
NPI:1235134842
Name:TRANS MEDIC, INC.
Entity Type:Organization
Organization Name:TRANS MEDIC, INC.
Other - Org Name:PRIORITY ONE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-385-4500
Mailing Address - Street 1:PO BOX 2021
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-2021
Mailing Address - Country:US
Mailing Address - Phone:409-385-4500
Mailing Address - Fax:409-385-7161
Practice Address - Street 1:2580 NERREN DR
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-6183
Practice Address - Country:US
Practice Address - Phone:409-385-1521
Practice Address - Fax:409-385-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300212341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000700701Medicaid
TX000709801Medicaid
TX000700701Medicaid
TX000709801Medicaid