Provider Demographics
NPI:1710977061
Name:WALKER COUNTY
Entity Type:Organization
Organization Name:WALKER COUNTY
Other - Org Name:HUNTSVILLE-WALKER COUNTY EMERGENCY MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-295-4848
Mailing Address - Street 1:PO BOX 1602
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77342-1602
Mailing Address - Country:US
Mailing Address - Phone:936-295-4848
Mailing Address - Fax:936-435-2482
Practice Address - Street 1:1619 HIGHWAY 30 E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-5491
Practice Address - Country:US
Practice Address - Phone:936-295-4848
Practice Address - Fax:936-435-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236004341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107644001Medicaid
TX236004OtherTEXAS PROVIDER LICENSE
TX183968001Medicaid
TX236004OtherTEXAS PROVIDER LICENSE