Provider Demographics
NPI:1982862694
Name:SHEFFIELD VFD & EMS
Entity Type:Organization
Organization Name:SHEFFIELD VFD & EMS
Other - Org Name:SHEFFIELD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:NR PARAMEDIC
Authorized Official - Phone:432-836-4309
Mailing Address - Street 1:PO BOX 10245
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:TX
Mailing Address - Zip Code:77575-7745
Mailing Address - Country:US
Mailing Address - Phone:936-334-9701
Mailing Address - Fax:936-334-9861
Practice Address - Street 1:HWY 290
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:TX
Practice Address - Zip Code:79781-9800
Practice Address - Country:US
Practice Address - Phone:432-836-4309
Practice Address - Fax:432-836-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1860033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169609801Medicaid
TX528059OtherBCBS