Provider Demographics
NPI:1972250439
Name:COUNTY CRITICAL CARE EMS LLC
Entity type:Organization
Organization Name:COUNTY CRITICAL CARE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-831-9944
Mailing Address - Street 1:PO BOX 15010
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-5010
Mailing Address - Country:US
Mailing Address - Phone:281-831-9944
Mailing Address - Fax:
Practice Address - Street 1:4100 N FRISCO RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1949
Practice Address - Country:US
Practice Address - Phone:903-870-6669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport