Organization
PRESTON VOLUNTEER EMERGENCY SERVICE, INC
Active
Parent organization
PRESTON VOLUNTEER EMERGENCY SERVICE, INC.
Other names
Preston EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTON VOLUNTEER EMERGENCY SERVICE, INC.
Authorized official
ALVIN CARROLL SHIELDS JR. (EMS DIRECTOR)
(903) 786-3010
Entity
Organization
Contact information
Practice address
14691 HIGHWAY 120 N, POTTSBORO, TX 75076-3348
(903) 786-3010
(903) 786-9889
Mailing address
14691 HIGHWAY 120 N, POTTSBORO, TX 75076-3348
(903) 786-3010
(903) 786-9889
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
91007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148444601
—
TX
01
—
590013818
RAILROAD MEDICARE
—
01
—
AMB536
BC/BS OF TEXAS
TX
Enumeration date
07/21/2006
Last updated
06/04/2012
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