Provider Demographics
NPI:1205130721
Name:MED CENTER EMS INC.
Entity type:Organization
Organization Name:MED CENTER EMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-798-6076
Mailing Address - Street 1:3374 COUNTY ROAD 353
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422-8186
Mailing Address - Country:US
Mailing Address - Phone:979-798-6076
Mailing Address - Fax:979-798-6076
Practice Address - Street 1:3374 COUNTY ROAD 353
Practice Address - Street 2:
Practice Address - City:BRAZORIA
Practice Address - State:TX
Practice Address - Zip Code:77422-8186
Practice Address - Country:US
Practice Address - Phone:979-798-6076
Practice Address - Fax:979-798-6076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000486341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance