Provider Demographics
NPI:1891965638
Name:AMERISTAT EMS
Entity Type:Organization
Organization Name:AMERISTAT EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMTI
Authorized Official - Phone:830-352-6561
Mailing Address - Street 1:183 WESTLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5725
Mailing Address - Country:US
Mailing Address - Phone:830-352-6414
Mailing Address - Fax:
Practice Address - Street 1:183 WESTLAKE BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5725
Practice Address - Country:US
Practice Address - Phone:830-352-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance