Eden EMS Inc
Organization Active NPI Land Ambulance · Eden, TX
NPI 1477855013 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1477855013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1000525 (TX)
- Legal business name
- EDEN EMS INC
- Practice address
- 102 Gordon St
Eden, TX 76837-0000 - Phone
- (325) 656-4853
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Ricky Thomas
- Title
- President
- Phone
- (325) 656-4853
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110321000742 | TX | Part B Supplier - Ambulance Service Supplier | 4688857162 | Practice locations: Eden, TX; Menard, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000525 | TX | Yes |
Addresses
Primary practice location
102 Gordon St
Eden, TX 76837-0000
Mailing address
PO Box 268
Eden, TX 76837-0268
Phone (325) 656-4853
Other providers in Eden, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.