Provider Demographics
NPI:1396723201
Name:HARPER VOLUNTEER FIRE DEPARTMENT INC
Entity type:Organization
Organization Name:HARPER VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOMER
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-864-4253
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:TX
Mailing Address - Zip Code:78631-0306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HARPER VFD
Practice Address - Street 2:
Practice Address - City:HARPER
Practice Address - State:TX
Practice Address - Zip Code:78631-0306
Practice Address - Country:US
Practice Address - Phone:830-864-4253
Practice Address - Fax:830-864-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0860023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB390Medicare ID - Type Unspecified