Provider Demographics
NPI:1942367677
Name:EDWARDS COUNTY EMS INC
Entity Type:Organization
Organization Name:EDWARDS COUNTY EMS INC
Other - Org Name:EDWARDS COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-834-0838
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:ROCKSPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78880-0185
Mailing Address - Country:US
Mailing Address - Phone:830-683-3305
Mailing Address - Fax:210-653-8168
Practice Address - Street 1:408 WEST AUSTIN
Practice Address - Street 2:
Practice Address - City:ROCKSPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78880
Practice Address - Country:US
Practice Address - Phone:830-683-3305
Practice Address - Fax:210-653-8168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX069001341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000292501Medicaid
TX000292501OtherSUPERIOR
TX513017OtherBCBS
TX513017OtherBCFED
TX000292501OtherSUPERIOR
TX513017OtherBCFED