Provider Demographics
NPI:1699704411
Name:HALL COUNTY EMS, INC.
Entity type:Organization
Organization Name:HALL COUNTY EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACE
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-292-1848
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TX
Mailing Address - Zip Code:79245-0639
Mailing Address - Country:US
Mailing Address - Phone:806-259-5059
Mailing Address - Fax:806-259-2168
Practice Address - Street 1:618 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TX
Practice Address - Zip Code:79245-3304
Practice Address - Country:US
Practice Address - Phone:806-259-5059
Practice Address - Fax:806-259-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX096001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX514386OtherBCBS
TX1699704411Medicaid
TXP00082566Medicare ID - Type UnspecifiedRAILROAD CARE PROVIDER #
TX514386Medicare ID - Type UnspecifiedPROVIDER NUMBER