Healthcare Provider Details

I. General information

NPI: 1831113596
Provider Name (Legal Business Name): CITY OF FERRIS EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S CHURCH ST
FERRIS TX
75125-2520
US

IV. Provider business mailing address

100 TOWN PLZ
FERRIS TX
75125-2537
US

V. Phone/Fax

Practice location:
  • Phone: 972-842-2898
  • Fax: 972-544-3625
Mailing address:
  • Phone: 972-842-2898
  • Fax: 972-544-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number70008
License Number StateTX

VIII. Authorized Official

Name: EDDIE DURAN
Title or Position: EMS ADMINISTRATOR
Credential:
Phone: 972-842-2898