Healthcare Provider Details

I. General information

NPI: 1821174988
Provider Name (Legal Business Name): SILVERTON VOLUNTEER AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 03/18/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 PULITZER ST
SILVERTON TX
79257
US

IV. Provider business mailing address

PO BOX 66
SILVERTON TX
79257-0066
US

V. Phone/Fax

Practice location:
  • Phone: 806-823-2134
  • Fax: 806-823-2359
Mailing address:
  • Phone: 806-983-0518
  • Fax: 888-972-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CONNIE SMITH
Title or Position: SECRETARY
Credential: EMT
Phone: 806-995-2235