Provider Demographics
NPI:1275155699
Name:1ST RESPONSE LLC
Entity Type:Organization
Organization Name:1ST RESPONSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:AEMT
Authorized Official - Phone:432-234-5372
Mailing Address - Street 1:5408 E LOOP 250 N UNIT B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-9319
Mailing Address - Country:US
Mailing Address - Phone:432-234-5372
Mailing Address - Fax:806-209-0057
Practice Address - Street 1:5408 E LOOP 250 N UNIT B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-9319
Practice Address - Country:US
Practice Address - Phone:432-234-5372
Practice Address - Fax:806-209-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport