Provider Demographics
NPI:1952414294
Name:COUNTY OF WINKLER
Entity Type:Organization
Organization Name:COUNTY OF WINKLER
Other - Org Name:WINKLER COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:432-586-2055
Mailing Address - Street 1:1310 BELLAIRE ST
Mailing Address - Street 2:
Mailing Address - City:KERMIT
Mailing Address - State:TX
Mailing Address - Zip Code:79745-4900
Mailing Address - Country:US
Mailing Address - Phone:432-586-2055
Mailing Address - Fax:432-586-2805
Practice Address - Street 1:1310 BELLAIRE ST
Practice Address - Street 2:
Practice Address - City:KERMIT
Practice Address - State:TX
Practice Address - Zip Code:79745-4900
Practice Address - Country:US
Practice Address - Phone:432-586-2055
Practice Address - Fax:432-586-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086481101Medicaid
TX503994Medicare ID - Type Unspecified