# PRESTON VOLUNTEER EMERGENCY SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESTON VOLUNTEER EMERGENCY SERVICE, INC.
- **Other names:** Preston EMS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295755106
- **Legal business name:** PRESTON VOLUNTEER EMERGENCY SERVICE, INC.
- **Authorized official:** ALVIN CARROLL SHIELDS JR. (EMS DIRECTOR)
- **Authorized official phone:** (903) 786-3010

## Contact information

- **Practice address:** 14691 HIGHWAY 120 N, POTTSBORO, TX 75076-3348
- **Practice address phone:** (903) 786-3010
- **Practice address fax:** (903) 786-9889
- **Mailing address:** 14691 HIGHWAY 120 N, POTTSBORO, TX 75076-3348
- **Mailing address phone:** (903) 786-3010
- **Mailing address fax:** (903) 786-9889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 91007 | TX | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148444601 | — | TX |
| 01 | — | 590013818 | RAILROAD MEDICARE | — |
| 01 | — | AMB536 | BC/BS OF TEXAS | TX |