Provider Demographics
NPI:1417978081
Name:BELLS SAVOY COMMUNITY EMERGENCY SERVICE INC
Entity Type:Organization
Organization Name:BELLS SAVOY COMMUNITY EMERGENCY SERVICE INC
Other - Org Name:TEXAS VITAL CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PARAMEDIC
Authorized Official - Phone:903-965-7778
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TX
Mailing Address - Zip Code:75414-0132
Mailing Address - Country:US
Mailing Address - Phone:903-965-7778
Mailing Address - Fax:903-965-9354
Practice Address - Street 1:612 E BELLS BLVD
Practice Address - Street 2:
Practice Address - City:BELLS
Practice Address - State:TX
Practice Address - Zip Code:75414-4212
Practice Address - Country:US
Practice Address - Phone:903-965-7778
Practice Address - Fax:903-965-9354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91011341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
826590807OtherRAILROAD MEDICARE
TX506841OtherBC/BS OF TEXAS
TX000137201Medicaid
TX91011OtherSTATE PROVIDER ID
TX000137201Medicaid