Provider Demographics
NPI:1194938704
Name:HIGHLANDS VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:HIGHLANDS VOLUNTEER FIRE DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-843-2466
Mailing Address - Street 1:PO BOX 222013
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-2013
Mailing Address - Country:US
Mailing Address - Phone:877-602-2060
Mailing Address - Fax:800-353-2196
Practice Address - Street 1:123 SAN JACINTO
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562
Practice Address - Country:US
Practice Address - Phone:281-843-2466
Practice Address - Fax:281-426-5554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGHLANDS VOLUNTEER FIRE DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-08
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101020341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX514124OtherBCBS OF TEXAS
TX590005831OtherRAILROAD
TX000356801Medicaid
TX590005831OtherRAILROAD