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NPI Code Detail

MEDICARE: CITY OF JOSHUA EMS

MEDICARE: CITY OF JOSHUA EMS
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
13416L0300XLand Ambulance126008TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2515556OTHERTXBC/BS OF TEXAS

General Provider Information

NPI Number : 1780699629
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF JOSHUA EMS
Provider Business Mailing Address
First Line : 200 SANTA FE ST
Second Line :
City : JOSHUA
State : TX
Zip : 76058-3262
Country : US
Telephone Number : 817-558-4141
Fax Number : 817-645-3174
Provider Business Practice Location Address
First Line : 200 SANTA FE ST
Second Line :
City : JOSHUA
State : TX
Zip : 76058-3262
Country : US
Telephone Number : 817-558-4141
Fax Number : 817-645-3174
Authorized Official
Title or Position : EMS ADMINISTRATOR
Name : KRISTI KLEINE
Credential :
Telephone Number : 817-558-4141
Provider Enumeration Date : 07/29/2006
Last Update Date : 02/24/2009

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Directions to “CITY OF JOSHUA EMS ” Practice Location

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