Provider Demographics
NPI:1427215573
Name:GULF COAST COUNTIES EMS, LLC
Entity Type:Organization
Organization Name:GULF COAST COUNTIES EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RASHEAD
Authorized Official - Middle Name:KASEEM
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-630-4714
Mailing Address - Street 1:2226 RAINY RIVER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-3225
Mailing Address - Country:US
Mailing Address - Phone:832-630-4714
Mailing Address - Fax:
Practice Address - Street 1:2226 RAINY RIVER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-3225
Practice Address - Country:US
Practice Address - Phone:832-630-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1509313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport