Provider Demographics
NPI:1588734594
Name:SOUTH TEXAS EMERGENCY CARE FOUNDATION, INC.
Entity type:Organization
Organization Name:SOUTH TEXAS EMERGENCY CARE FOUNDATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-364-2711
Mailing Address - Street 1:PO BOX 533668
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-3668
Mailing Address - Country:US
Mailing Address - Phone:956-364-2711
Mailing Address - Fax:956-428-0839
Practice Address - Street 1:1705 VERMONT
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8914
Practice Address - Country:US
Practice Address - Phone:956-364-2711
Practice Address - Fax:956-428-0839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300044341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176428100OtherU.S. DEPARTMENT OF LABOR
TX0000506663OtherBLUE CROSS BLUE SHIELD TX
TX000124001Medicaid
TX137367100OtherVALLEY BAPTIST HEALTH PLA
TX826590521OtherPALMETTO GBA RAILROAD
TX826590521OtherPALMETTO GBA RAILROAD