Provider Demographics
NPI:1942533666
Name:NOVUS & FORTIS LLC
Entity Type:Organization
Organization Name:NOVUS & FORTIS LLC
Other - Org Name:FORCE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINIATRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-568-5734
Mailing Address - Street 1:701 GLENCREST LN STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5145
Mailing Address - Country:US
Mailing Address - Phone:281-568-5734
Mailing Address - Fax:844-344-5333
Practice Address - Street 1:701 GLENCREST LN STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5145
Practice Address - Country:US
Practice Address - Phone:281-568-5734
Practice Address - Fax:844-344-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212519701Medicaid
TXP00836136OtherRAILROAD MEDICARE
TX212519701Medicaid
TXP00836136OtherRAILROAD MEDICARE
TXAMB930Medicare PIN