Organization
MEDINA VALLEY EMS INCORPORATED
Active
Other names
Medina County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND L JAGGE (ADMINISTRATOR)
(830) 931-2777
Entity
Organization
Contact information
Practice address
800 MADRID, CASTROVILLE, TX 78009-1367
(830) 931-2777
(830) 931-2777
Mailing address
PO BOX 1367, CASTROVILLE, TX 78009-1367
(830) 931-2777
(830) 931-2777
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
163005
TX
3416L0300X
Land Ambulance
Primary
163005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086608901
—
TX
01
—
504965
BCBS
TX
Enumeration date
07/28/2006
Last updated
03/05/2012
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