MEDICARE: COUNTY 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	3416L0300X	Land Ambulance	1000242	TX

General Provider Information

NPI Number	:	1609010370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY EMS, INC

Provider Business Mailing Address
First Line	:	1539 LAZY SPRING DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5223
Country	:	US
Telephone Number	:	281-667-7226
Fax Number	:	713-777-1510

Provider Business Practice Location Address
First Line	:	1539 LAZY SPRING DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5223
Country	:	US
Telephone Number	:	281-667-7226
Fax Number	:	713-777-1510

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. MARCELLA MARIE TURNER
Credential	:
Telephone Number	:	281-667-7226

Provider Enumeration Date	:	04/26/2009
Last Update Date	:	05/12/2009

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