Provider Demographics
NPI:1518168061
Name:INTEGHEARTY AMBULANCE SERVICES
Entity Type:Organization
Organization Name:INTEGHEARTY AMBULANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VREITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-224-7017
Mailing Address - Street 1:1516 OSPREY DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2429
Mailing Address - Country:US
Mailing Address - Phone:972-224-7017
Mailing Address - Fax:972-224-7007
Practice Address - Street 1:1516 OSPREY DR
Practice Address - Street 2:SUITE 206
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2429
Practice Address - Country:US
Practice Address - Phone:972-224-7017
Practice Address - Fax:972-224-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000021341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance