Provider Demographics
NPI:1952330102
Name:TRINITY EMS, LLC
Entity Type:Organization
Organization Name:TRINITY EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARTER
Authorized Official - Middle Name:DAMON
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-392-2920
Mailing Address - Street 1:13940 BAMMEL NORTH HOUSTON RD STE 207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-2948
Mailing Address - Country:US
Mailing Address - Phone:713-392-2920
Mailing Address - Fax:281-880-9970
Practice Address - Street 1:13940 BAMMEL NORTH HOUSTON RD STE 207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-2948
Practice Address - Country:US
Practice Address - Phone:713-392-2920
Practice Address - Fax:281-880-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB563Medicare PIN