JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4 NPI 1790256071

NPI Information

NPI: 1790256071
Provider Name: JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 45D0665741

Address:
12880 FM 365 RD
BEAUMONT, TX
ZIP 77705
Phone: (409) 273-5050
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JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4 is a land transport ambulance in Beaumont, TX. JEFFERSON COUNTY EMERGENCY SERVICES DISTRICT NO. 4 NPI is 1790256071. The provider is registered as an organization entity type.

The provider's business location address is:

12880 FM 365 RD
BEAUMONT, TX
ZIP 77705-682
Phone: (409) 273-5050

The provider's authorized official is Patrick L Larson .
The authorized official title is District Administrator and has the following contact phone number (409) 273-5050.

The CLIA number assigned to this NPI record is 45D0665741 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2018 and was last updated on 1/30/2019.

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			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	1000994	OTHER	TEXAS	TEXAS HHS EMERGENCY MEDICAL SERVICES PROVIDER LICENSE

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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