Provider Demographics
NPI:1407691744
Name:MEDINA COUNTY EMERGENCY SERVICE DISTRICT NO. 4
Entity type:Organization
Organization Name:MEDINA COUNTY EMERGENCY SERVICE DISTRICT NO. 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:536-210-5369
Mailing Address - Street 1:206 DIXON DR
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-1802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 DIXON DR
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-1802
Practice Address - Country:US
Practice Address - Phone:210-355-5369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport