Provider Demographics
NPI:1972800019
Name:SANTO VOLUNTEER FIRE AND EMS DEPARTMENT
Entity type:Organization
Organization Name:SANTO VOLUNTEER FIRE AND EMS DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOFTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-769-2891
Mailing Address - Street 1:PO BOX 610942
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75261-0942
Mailing Address - Country:US
Mailing Address - Phone:972-602-2060
Mailing Address - Fax:
Practice Address - Street 1:1250 FM 2201
Practice Address - Street 2:
Practice Address - City:SANTO
Practice Address - State:TX
Practice Address - Zip Code:76472
Practice Address - Country:US
Practice Address - Phone:940-769-2891
Practice Address - Fax:940-769-2069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2914426-01Medicaid
TX2914426-01Medicaid