Provider Demographics
NPI:1528089521
Name:SANTA FE FIRE & RESCUE INC
Entity type:Organization
Organization Name:SANTA FE FIRE & RESCUE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-925-7331
Mailing Address - Street 1:12506 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-7610
Mailing Address - Country:US
Mailing Address - Phone:409-925-7331
Mailing Address - Fax:409-925-7330
Practice Address - Street 1:12506 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-7610
Practice Address - Country:US
Practice Address - Phone:409-925-7331
Practice Address - Fax:409-925-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84020341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590004101OtherRAILROAD MEDICARE
TX513440OtherBC/BS OF TEXAS
TX000316201Medicaid
TX513440OtherBC/BS OF TEXAS