Provider Demographics
NPI:1194709063
Name:FALLS COUNTY EMS, INC.
Entity type:Organization
Organization Name:FALLS COUNTY EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:I
Authorized Official - Credentials:EMT I
Authorized Official - Phone:254-883-5445
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:MARLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76661-0111
Mailing Address - Country:US
Mailing Address - Phone:254-883-5445
Mailing Address - Fax:254-803-2420
Practice Address - Street 1:403 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-2702
Practice Address - Country:US
Practice Address - Phone:254-883-5445
Practice Address - Fax:254-803-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX073008341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000334501Medicaid
TX000334501Medicaid
TX513818Medicare PIN