MEDICARE: BI COUNTY EMERGENCY MEDICAL SERVICE 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

General Provider Information

NPI Number	:	1992021224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BI COUNTY EMERGENCY MEDICAL SERVICE INC

Provider Business Mailing Address
First Line	:	223 N GULF BLVD
Second Line	:
City	:	FREEPORT
State	:	TX
Zip	:	77541-4305
Country	:	US
Telephone Number	:	979-230-9670
Fax Number	:	979-230-9971

Provider Business Practice Location Address
First Line	:	223 N GULF BLVD
Second Line	:
City	:	FREEPORT
State	:	TX
Zip	:	77541-4305
Country	:	US
Telephone Number	:	979-230-9670
Fax Number	:	979-230-9971

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BILL HOWARD LOGAN
Credential	:
Telephone Number	:	979-230-9670

Provider Enumeration Date	:	04/12/2010
Last Update Date	:	04/12/2010

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