Provider Demographics
NPI:1841391224
Name:CB HARVILL ENTERPRISES INC
Entity Type:Organization
Organization Name:CB HARVILL ENTERPRISES INC
Other - Org Name:NORTH EAST TEXAS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARVILL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:936-598-7600
Mailing Address - Street 1:PO BOX 1743
Mailing Address - Street 2:1316 LOUISIANA ST
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-1743
Mailing Address - Country:US
Mailing Address - Phone:936-598-7600
Mailing Address - Fax:
Practice Address - Street 1:1316 LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3318
Practice Address - Country:US
Practice Address - Phone:936-598-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210100341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161275601Medicaid
TXAMB325OtherRAILROAD MEDICARE
TX161275601Medicaid