=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861410664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AUSTIN COUNTY AUDITORS OFFICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2006
-----------------------------------------------------
Last Update Date | 01/22/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 E MAIN ST
-----------------------------------------------------
City | BELLVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77418-1521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-865-5911
-----------------------------------------------------
Fax | 979-865-3958
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 E MAIN ST
-----------------------------------------------------
City | BELLVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77418-1521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-865-5911
-----------------------------------------------------
Fax | 979-865-3958
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMS DIRECTOR
-----------------------------------------------------
Name | RONALD MICHAEL DILLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 979-865-5911
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 008001
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------