Provider Demographics
NPI:1255415691
Name:1ST ALERT EMS, LLC
Entity type:Organization
Organization Name:1ST ALERT EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-641-5700
Mailing Address - Street 1:PO BOX 88108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-0108
Mailing Address - Country:US
Mailing Address - Phone:713-641-5700
Mailing Address - Fax:713-641-5706
Practice Address - Street 1:4400 S WAYSIDE DR
Practice Address - Street 2:STE.100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-1125
Practice Address - Country:US
Practice Address - Phone:713-641-5700
Practice Address - Fax:713-641-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800188341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182796601Medicaid
TX182796601Medicaid
TXAMB535Medicare PIN