Provider Demographics
NPI:1972224327
Name:CORDIAL EMERGENCY MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:CORDIAL EMERGENCY MEDICAL SERVICES LLC
Other - Org Name:CORDIAL FIRE/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:IAN SCHUYLER
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LP, CCP-C CP-C, FP-C
Authorized Official - Phone:888-236-7911
Mailing Address - Street 1:5835 CALLAGHAN RD STE 502
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1125
Mailing Address - Country:US
Mailing Address - Phone:888-236-7911
Mailing Address - Fax:800-588-3671
Practice Address - Street 1:5835 CALLAGHAN RD STE 502
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1125
Practice Address - Country:US
Practice Address - Phone:888-236-7911
Practice Address - Fax:800-588-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M5003366OtherNATIONAL REGISTRY OF EMT'S
TX727394OtherTX DSHS EMS