Provider Demographics
NPI:1902909351
Name:TRI-MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:TRI-MEDICAL SERVICES INC
Other - Org Name:TEXAS WEST AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OPERATIONS MNGR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:KIP
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:EMTP
Authorized Official - Phone:432-570-4892
Mailing Address - Street 1:PO BOX 50542
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79710
Mailing Address - Country:US
Mailing Address - Phone:432-570-4892
Mailing Address - Fax:432-520-2501
Practice Address - Street 1:5004 BELLE GROVE CT
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705
Practice Address - Country:US
Practice Address - Phone:432-570-4892
Practice Address - Fax:432-520-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
528022OtherBCBS
528022Medicare ID - Type Unspecified