Healthcare Provider Details

I. General information

NPI: 1790769743
Provider Name (Legal Business Name): TRI COUNTY EMERGENCY MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 1ST ST
INGLESIDE TX
78362-5931
US

IV. Provider business mailing address

PO BOX 1378
INGLESIDE TX
78362-1378
US

V. Phone/Fax

Practice location:
  • Phone: 361-776-0025
  • Fax: 361-776-3560
Mailing address:
  • Phone: 361-776-0025
  • Fax: 361-776-3560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number205009
License Number StateTX

VIII. Authorized Official

Name: MRS. CARRIE DE LEON
Title or Position: OFFICE MANAGER
Credential:
Phone: 361-776-0025