MEDICARE: CITY OF SOUTH HOUSTON EMS DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174521249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SOUTH HOUSTON EMS DEPARTMENT

Provider Business Mailing Address
First Line	:	1018 DALLAS
Second Line	:
City	:	SOUTH HOUSTON
State	:	TX
Zip	:	77587-4012
Country	:	US
Telephone Number	:	713-947-7700
Fax Number	:	713-910-0495

Provider Business Practice Location Address
First Line	:	506 GEORGIA
Second Line	:
City	:	SOUTH HOUSTON
State	:	TX
Zip	:	77587-4012
Country	:	US
Telephone Number	:	713-941-8500
Fax Number	:	713-910-5832

Authorized Official
Title or Position	:	MAYOR
Name	:	JOE SOTO
Credential	:
Telephone Number	:	713-947-7700

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	11/26/2025

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