YORKTOWN EMERGENCY MEDICAL SERVICE NPI 1063415107

NPI Information

NPI: 1063415107
Provider Name: YORKTOWN EMERGENCY MEDICAL SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D1027866

Address:
508 N RIEDEL ST
YORKTOWN, TX
ZIP 78164
Phone: (361) 564-9410
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YORKTOWN EMERGENCY MEDICAL SERVICE is a land transport ambulance in Yorktown, TX. YORKTOWN EMERGENCY MEDICAL SERVICE NPI is 1063415107. The provider is registered as an organization entity type.

The provider's business location address is:

508 N RIEDEL ST
YORKTOWN, TX
ZIP 78164-810
Phone: (361) 564-9410
Fax: (361) 564-9476

The provider's authorized official is John William Green .
The authorized official title is Aor and has the following contact phone number (361) 938-7080.

The CLIA number assigned to this NPI record is 45D1027866 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	062008	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000404601	MEDICAID	TEXAS
2	514705	OTHER	TEXAS	BCBS PROVIDER NUMBER
3	062008	OTHER	TEXAS	TDH LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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