Provider Demographics
NPI:1508857020
Name:FRIO COUNTY EMS
Entity Type:Organization
Organization Name:FRIO COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:210-415-5588
Mailing Address - Street 1:500 E SAN ANTONIO ST
Mailing Address - Street 2:#5
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061-3145
Mailing Address - Country:US
Mailing Address - Phone:830-334-3201
Mailing Address - Fax:830-334-0025
Practice Address - Street 1:500 E SAN ANTONIO ST
Practice Address - Street 2:#5
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-3145
Practice Address - Country:US
Practice Address - Phone:830-334-3201
Practice Address - Fax:830-334-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0820023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0864399-01Medicaid
TX503766Medicare ID - Type UnspecifiedMEDICARE PART B-AMBULANCE