Provider Demographics
NPI:1538174321
Name:ACCU-CARE EMS, INC
Entity type:Organization
Organization Name:ACCU-CARE EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:WEATHERSBY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B, FIREFIGHTER
Authorized Official - Phone:713-721-0888
Mailing Address - Street 1:12166 ORMANDY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1147
Mailing Address - Country:US
Mailing Address - Phone:713-721-0888
Mailing Address - Fax:713-721-0848
Practice Address - Street 1:12166 ORMANDY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1147
Practice Address - Country:US
Practice Address - Phone:713-721-0888
Practice Address - Fax:713-721-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101309341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0179OtherCITY PERMIT #
TX101309OtherSTATE ID NUMBER
TX0000AMB704OtherBLUECROSS/BLUESHIELD
TXAMB310Medicare ID - Type Unspecified