Provider Demographics
NPI:1780784686
Name:SOUTHWEST REGIONAL EMS, INC.
Entity type:Organization
Organization Name:SOUTHWEST REGIONAL EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-820-3900
Mailing Address - Street 1:748 BRADFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3109
Mailing Address - Country:US
Mailing Address - Phone:281-820-3900
Mailing Address - Fax:281-820-3906
Practice Address - Street 1:748 BRADFIELD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3109
Practice Address - Country:US
Practice Address - Phone:281-820-3900
Practice Address - Fax:281-820-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800099341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB500Medicare PIN