Stacey Baskerville in Sweeny - Emergency Medical Technician, Intermediate

Stacey Baskerville - NPI 1417099565

Stacey Baskerville is a Emergency Medical Technician, Intermediate in Sweeny, Texas. Stacey Baskerville practices all healthcare services and medical treatments related to Emergency Medical Technician, Intermediate. The NPI Number for Stacey Baskerville is 1417099565. The last update date is 2007-07-08.

Stacey Baskerville's current location address is 300 Silverleaf Rd Apt 1201, Sweeny, Texas. You can contact this provider via phone number 9794824637. The mailing address for Stacey Baskerville is 300 Silverleaf Rd Apt 1201, Sweeny, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Baskerville
Address 300 Silverleaf Rd Apt 1201, Sweeny, Texas
Phone Number 9794824637
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1417099565
Provider Enumeration Date 2007-02-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Silverleaf Rd Apt 1201
City Sweeny
State Texas (TX)
Post Code 774801839
Phone Number 9794824637
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Technician, Intermediate
Taxonomy 146M00000X
Licence No 139905
Definition:
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1824609 TX --

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FAQs about Stacey Baskerville

What is the unique identification code assigned to Stacey Baskerville by the Centers for Medicare & Medicaid Services?

The Stacey Baskerville has been issued the NPI (National Provider Identifier) 1417099565. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Stacey Baskerville's facilities are geographically located?

The facilities of Stacey Baskerville are physically situated at the following location: 300 Silverleaf Rd Apt 1201, Sweeny, TX, 774801839.

What is the Stacey Baskerville's specialty and taxonomy code?

The Stacey Baskerville's specialty is Emergency Medical Technician, Intermediate, and the corresponding taxonomy code is 146M00000X.

When did Stacey Baskerville receive its 1417099565 assignment?

The Stacey Baskerville was assigned its 1417099565 on 2007-02-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Stacey Baskerville, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacey Baskerville, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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