Provider Demographics
NPI:1518965722
Name:UVALDE EMERGENCY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:UVALDE EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-279-0592
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78802-0064
Mailing Address - Country:US
Mailing Address - Phone:830-279-0592
Mailing Address - Fax:830-591-1701
Practice Address - Street 1:219 S GETTY ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-5533
Practice Address - Country:US
Practice Address - Phone:830-279-0592
Practice Address - Fax:830-591-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000405301Medicaid
TX000405301Medicaid