Provider Demographics
NPI:1821144528
Name:AMBULANCE SERVICE OF HALE CENTER INC
Entity Type:Organization
Organization Name:AMBULANCE SERVICE OF HALE CENTER INC
Other - Org Name:HALE CENTER EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEALTH
Authorized Official - Suffix:
Authorized Official - Credentials:AOR
Authorized Official - Phone:806-576-3303
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:HALE CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:79041-1027
Mailing Address - Country:US
Mailing Address - Phone:806-839-2221
Mailing Address - Fax:888-972-3563
Practice Address - Street 1:116 WEST 6TH
Practice Address - Street 2:
Practice Address - City:HALE CENTER
Practice Address - State:TX
Practice Address - Zip Code:79041-9586
Practice Address - Country:US
Practice Address - Phone:806-839-2221
Practice Address - Fax:888-972-3563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2017-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX504475Medicare PIN