Provider Demographics
NPI:1497940217
Name:CENTRAL EMS INC
Entity Type:Organization
Organization Name:CENTRAL EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:REGGINAL
Authorized Official - Middle Name:WENDELL
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-464-9033
Mailing Address - Street 1:12962 ABALONE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1804
Mailing Address - Country:US
Mailing Address - Phone:281-464-9033
Mailing Address - Fax:281-484-4158
Practice Address - Street 1:12962 ABALONE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-1804
Practice Address - Country:US
Practice Address - Phone:281-464-9033
Practice Address - Fax:281-484-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000047341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200654601Medicaid
TX=========OtherEIN
TX=========OtherEIN