Provider Demographics
NPI:1023090479
Name:FLOYDADA EMERGENCY MEDICAL SERVICES
Entity type:Organization
Organization Name:FLOYDADA EMERGENCY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BATTEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-983-3782
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:FLOYDADA
Mailing Address - State:TX
Mailing Address - Zip Code:79235-0373
Mailing Address - Country:US
Mailing Address - Phone:806-983-3004
Mailing Address - Fax:
Practice Address - Street 1:109 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FLOYDADA
Practice Address - State:TX
Practice Address - Zip Code:79235-2708
Practice Address - Country:US
Practice Address - Phone:806-983-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX077001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004756-01Medicaid
TX0004756-01Medicaid