TRI CITY EMERGENCY MEDICAL SERVICE INC (NPI# 1487907143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487907143 |
| Entity Type | Organization |
| Organization Name | TRI CITY EMERGENCY MEDICAL SERVICE INC |
| Practice Address |
111 East Crockett St Gordon TX 76453 |
| Mailing Address |
Po Box 271 Gordon TX 76453-0271 |
| Practice Telephone | 9408593488 |
| Mailing Telephone | 9408593488 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | MR. JAMES E DICKSON (EMS COORDINATOR) |
| Authorized Official Telephone | 9408593488 |
| Authorized Official Credential | LICENSED PARAMED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
182005 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | EMS PROVIDER LICENSE | 182005 | 01 |
| Street Address |
111 EAST CROCKETT ST |
| City | GORDON |
| State | TX |
| Zip Code | 76453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588948871 | Home Access Solutions, Inc. | Contractor | 100 Browder Ln, Gordon, TX 76453 | 2011-10-05 |
| 1548482110 | Palo Pinto County Hospital District | Family Medicine | 118 S Main Street, Gordon, TX 76453 | 2007-05-03 |
| 1467628248 | Palo Pinto County Hospital District | Clinic/Center | 118 S Main St, Gordon, TX 76453 | 2008-05-01 |
| 1407894223 | Carla Hay Perdue | Nurse Practitioner | 118 S Main St, Gordon, TX 76453 | 2006-06-03 |
| 1912982174 | Palo Pinto County Hospital District | Clinic/Center | 118 S Main St, Gordon, TX 76453 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155564 | Savannah Renae Williams | Technician | 27 Lares Cir, Gordon, WV 25093-9400 | 2020-08-19 |
| 1487265427 | Mary Jo Jarrell | Technician | 12294 Chap Rd, Gordon, WV 25093-9425 | 2020-08-13 |
| 1386255289 | Calvin L Buckner II | Technician | 12340 Chap Rd, Gordon, WV 25093-9427 | 2020-08-13 |
| 1629689518 | Lory Ann Elswick | Technician | 4782 Gordon Rd, Gordon, WV 25093 | 2020-08-13 |
| 1487281572 | Jamia A Reese | Speech-Language Pathologist | 136 Burney Rd, Gordon, GA 31031-2501 | 2020-03-26 |
| 1043842073 | Jerry Reese Jr. | Specialist/Technologist | 218 Elam St, Gordon, GA 31031-2502 | 2020-02-07 |
| 1992366512 | Chasity A Hatfield | Physical Therapy Assistant | 3715 Highway 510, Gordon, KY 41819-9043 | 2019-06-25 |
| 1205339884 | Bradley Eugen Myers | Acupuncturist | 328 N Ash St, Gordon, NE 69343-1431 | 2018-03-09 |
| 1841745155 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 301 E Us Highway 20, Gordon, NE 69343-1650 | 2016-08-17 |
| 1679971899 | Prerna Brisky | Physical Therapist | 14624 S Whitefish Lake Rd, Gordon, WI 54838-9363 | 2014-12-22 |
| Find all providers in GORDON | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306855127 | City of Gordon Office of Comptroller | Ambulance | 208 North Elm St., Gordon, NE 69343 | 2006-08-08 |
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| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 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.