Provider Demographics
NPI:1346542297
Name:FOUNTAIN EMS INC
Entity Type:Organization
Organization Name:FOUNTAIN EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOBODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-882-2196
Mailing Address - Street 1:2411 HIDDEN PARK CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6289
Mailing Address - Country:US
Mailing Address - Phone:713-882-2196
Mailing Address - Fax:281-564-5364
Practice Address - Street 1:2411 HIDDEN PARK CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6289
Practice Address - Country:US
Practice Address - Phone:713-882-2196
Practice Address - Fax:281-564-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000537341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance