Provider Demographics
NPI:1982705323
Name:TRIPLE EMS, INC
Entity Type:Organization
Organization Name:TRIPLE EMS, INC
Other - Org Name:TRIPLE M MEDICAL SUPPLY CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-0802
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE # 583
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-988-0802
Mailing Address - Fax:713-988-8042
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE # 583
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:713-988-0802
Practice Address - Fax:713-988-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087729332B00000X
TX1000192341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201437501Medicaid
AMB770Medicare PIN