Provider Demographics
NPI:1366644031
Name:ADRIAN VFD
Entity Type:Organization
Organization Name:ADRIAN VFD
Other - Org Name:ADRIAN EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-344-4698
Mailing Address - Street 1:PO BOX 224077
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-4077
Mailing Address - Country:US
Mailing Address - Phone:803-344-4698
Mailing Address - Fax:
Practice Address - Street 1:500 W 5TH ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:TX
Practice Address - Zip Code:79001
Practice Address - Country:US
Practice Address - Phone:806-344-4698
Practice Address - Fax:806-536-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000138001Medicaid
TX000138001Medicaid