EDEN EMS INC (NPI# 1477855013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477855013 |
| Entity Type | Organization |
| Organization Name | EDEN EMS INC |
| Practice Address |
102 Gordon St Eden TX 76837-0000 |
| Mailing Address |
Po Box 268 Eden TX 76837-0268 |
| Practice Telephone | 3256564853 |
| Mailing Telephone | 3256564853 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | RICKY THOMAS (PRESIDENT) |
| Authorized Official Telephone | 3256564853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1000525 | TX | Transportation Services |
| Street Address |
102 GORDON ST |
| City | EDEN |
| State | TX |
| Zip Code | 76837-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497579 | Girly Orlando Tubayan | Physical Therapy Assistant | 613 Eaker Street, Eden, TX 76837 | 2018-05-18 |
| 1134252570 | City of Eden | Ambulance | 102 Gordon St., Eden, TX 76837 | 2007-03-14 |
| 1700862166 | Pedro Castro | General Practice | 551 Eaker Street, Eden, TX 76837 | 2005-12-19 |
| 1710989595 | Provider Healthcare Services of Concho Lp | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2005-08-11 |
| 1649815283 | Jakalyn Jane Gossett | Physician Assistant | 614 Eaker St, Eden, TX 76837 | 2019-11-07 |
| 1265883540 | Tonya Rochelle Boyett | Social Worker | 551 Eaker Street, Frontera Healthcare Network, Eden, TX 76837 | 2016-06-28 |
| 1649557737 | Concho County Hospital | General Acute Care Hospital | 614 Eaker St., Suite 100, Eden, TX 76837 | 2011-11-03 |
| 1447403118 | Eden II Enterprises, LLC | Skilled Nursing Facility | 613 Eaker St, Eden, TX 76837 | 2008-10-28 |
| 1205375037 | Frontera Healthcare Network | Clinic/Center | 212 Jackson Street, Eden, TX 76837-0246 | 2017-02-13 |
| 1861510927 | Dalyn J Johnson | Dentist | 212 Jackson St., Eden, TX 76837-0246 | 2007-03-27 |
| Find all providers in zip 76837 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.