Provider Demographics
NPI:1821561143
Name:OCCUPATIONAL HEALTH AND SAFETY INTERNATIONAL, LLC
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH AND SAFETY INTERNATIONAL, LLC
Other - Org Name:DEL MAR AMBULANCE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFPAUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-755-6166
Mailing Address - Street 1:4714 FM 1488 RD STE 124
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4929
Mailing Address - Country:US
Mailing Address - Phone:832-432-2030
Mailing Address - Fax:832-432-2035
Practice Address - Street 1:9201 STATE HIGHWAY 302
Practice Address - Street 2:
Practice Address - City:MENTONE
Practice Address - State:TX
Practice Address - Zip Code:79754
Practice Address - Country:US
Practice Address - Phone:432-923-7052
Practice Address - Fax:432-923-7053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212577501Medicaid