MEDICARE: ACCU-CARE EMS, INC.

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	101309	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB704	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205846268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCU-CARE EMS, INC.

Provider Business Mailing Address
First Line	:	12166 ORMANDY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1147
Country	:	US
Telephone Number	:	713-721-0888
Fax Number	:	713-484-5777

Provider Business Practice Location Address
First Line	:	12166 ORMANDY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1147
Country	:	US
Telephone Number	:	713-721-0888
Fax Number	:	713-484-5777

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN WEATHERSBY
Credential	:
Telephone Number	:	713-721-0888

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/19/2008

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