Provider Demographics
NPI:1821036831
Name:HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO.5
Entity Type:Organization
Organization Name:HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO.5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:SANDERS
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:281-328-6810
Mailing Address - Street 1:PO BOX 1604
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-1604
Mailing Address - Country:US
Mailing Address - Phone:281-328-6810
Mailing Address - Fax:281-328-9992
Practice Address - Street 1:5915 FM 2100 RD
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-5615
Practice Address - Country:US
Practice Address - Phone:281-328-6810
Practice Address - Fax:281-328-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1012743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10007091OtherAMERIGROUP
TXAMB620OtherBLUECROSS
TX10007091OtherAMERIGROUP