Provider Demographics
NPI:1881635050
Name:SHAHEEN CORP.
Entity Type:Organization
Organization Name:SHAHEEN CORP.
Other - Org Name:COCHRAN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHAHEEN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:806-894-8855
Mailing Address - Street 1:809 11TH ST
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-5422
Mailing Address - Country:US
Mailing Address - Phone:806-894-8855
Mailing Address - Fax:806-894-7097
Practice Address - Street 1:114 W WILSON
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:TX
Practice Address - Zip Code:79346-2543
Practice Address - Country:US
Practice Address - Phone:806-894-8855
Practice Address - Fax:806-894-7097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110004341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000446701Medicaid
TX102996100OtherFIRST CARE
TX102996100OtherFIRST CARE