Provider Demographics
NPI:1831113596
Name:CITY OF FERRIS EMS
Entity Type:Organization
Organization Name:CITY OF FERRIS EMS
Other - Org Name:CITY OF FERRIS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-842-2898
Mailing Address - Street 1:100 TOWN PLZ
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-2537
Mailing Address - Country:US
Mailing Address - Phone:972-842-2898
Mailing Address - Fax:972-544-3625
Practice Address - Street 1:203 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:FERRIS
Practice Address - State:TX
Practice Address - Zip Code:75125-2520
Practice Address - Country:US
Practice Address - Phone:972-842-2898
Practice Address - Fax:972-544-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX700083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX505829OtherBC/BS OF TEXAS
TX00087901Medicaid
TX505829Medicare PIN
TX505829OtherBC/BS OF TEXAS