Provider Demographics
NPI:1053317347
Name:GALVESTON COUNTY HEALTH DISTRICT
Entity type:Organization
Organization Name:GALVESTON COUNTY HEALTH DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF EMS
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-938-2345
Mailing Address - Street 1:9850 EMMETT F LOWRY EXPY # D101
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2000
Mailing Address - Country:US
Mailing Address - Phone:409-938-2345
Mailing Address - Fax:409-765-2305
Practice Address - Street 1:9850 EMMETT F LOWRY EXPY STE D101
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2000
Practice Address - Country:US
Practice Address - Phone:409-938-2345
Practice Address - Fax:409-765-2305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GALVESTON COUNTY HEALTH DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-22
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0865396-01Medicaid
TX0865396-01Medicaid