ETMC EMS NPI 1104286087

NPI Information

NPI: 1104286087
Provider Name: ETMC EMS
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
352 S GLENWOOD
TYLER, TX
ZIP 75702
Phone: (903) 535-5800
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ETMC EMS is a land transport ambulance in Tyler, TX. ETMC EMS NPI is 1104286087. The provider is registered as an organization entity type.

The provider's business location address is:

352 S GLENWOOD
TYLER, TX
ZIP 75702-936
Phone: (903) 535-5800
Fax: (903) 590-5810

The provider's authorized official is Charles Anthony Farmer .
The authorized official title is C.f.o. and has the following contact phone number (903) 535-5809.

The CLIA number assigned to this NPI record is 45D1026437 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.

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	212002	TEXAS	Yes

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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