Provider Demographics
NPI:1780839654
Name:STERLING COUNTY EMS
Entity Type:Organization
Organization Name:STERLING COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-277-1013
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:
Mailing Address - City:STERLING CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76951-1036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 5TH STREET
Practice Address - Street 2:
Practice Address - City:STERLING CITY
Practice Address - State:TX
Practice Address - Zip Code:76951-1036
Practice Address - Country:US
Practice Address - Phone:325-277-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216001341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB196Medicare PIN