Provider Demographics
NPI:1710081427
Name:HUDSPETH COUNTY SHERIFFS DEPARTMENT
Entity Type:Organization
Organization Name:HUDSPETH COUNTY SHERIFFS DEPARTMENT
Other - Org Name:SIERRA BLANCA EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-588-1304
Mailing Address - Street 1:PO BOX 539
Mailing Address - Street 2:
Mailing Address - City:SIERRA BLANCA
Mailing Address - State:TX
Mailing Address - Zip Code:79851-0539
Mailing Address - Country:US
Mailing Address - Phone:915-369-2161
Mailing Address - Fax:
Practice Address - Street 1:525 N WILSON ROAD
Practice Address - Street 2:
Practice Address - City:SIERRA BLANCA
Practice Address - State:TX
Practice Address - Zip Code:79851-0539
Practice Address - Country:US
Practice Address - Phone:915-369-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115002341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance