Provider Demographics
NPI:1841268307
Name:DIMMIT COUNTY EMS
Entity type:Organization
Organization Name:DIMMIT COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-876-9505
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-6341
Mailing Address - Country:US
Mailing Address - Phone:830-876-9505
Mailing Address - Fax:830-876-5590
Practice Address - Street 1:204 E NOPAL ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3328
Practice Address - Country:US
Practice Address - Phone:830-876-9505
Practice Address - Fax:830-876-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590014673OtherRAILROAD MEDICARE
TX000351901Medicaid
TX000351901Medicaid
B87964Medicare UPIN