CRYSTAL MAS INTERNATIONAL (NPI# 1023362084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023362084 |
| Entity Type | Organization |
| Organization Name | CRYSTAL MAS INTERNATIONAL |
| Other Organization Name | CRYSTAL MAS EMS |
| Practice Address |
4101 Airport Fwy Suite 227 Bedford TX 76021-6130 |
| Mailing Address |
4101 Airport Fwy Suite 227 Bedford TX 76021-6129 |
| Practice Telephone | 8178681040 |
| Practice Fax Number | 8178681042 |
| Mailing Telephone | 8178681040 |
| Mailing Fax Number | 8178681042 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MR. OLAMIDE ADEYEMI (OWNER) |
| Authorized Official Telephone | 9722018568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1000833 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TDSHS | 1000833 | 01 |
| Other Name | Type Code |
|---|---|
| Crystal Mas EMS | Doing Business As Name - Organization |
| Street Address |
4101 AIRPORT FWY SUITE 227 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141973 | Olamide Adeyemi | Ambulance | 4101 Airport Fwy, Suite 227, Bedford, TX 76021-6129 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141973 | Olamide Adeyemi | Ambulance | 4101 Airport Fwy, Suite 227, Bedford, TX 76021-6129 | 2011-01-12 |
| 1104092535 | Bedford Volunteer Municipal Ambulance Service | Ambulance | 622 Court Ave, Bedford, IA 50833-1303 | 2008-05-06 |
| 1164647608 | Bedford County Board of Supervisors | Ambulance | 1305 Falling Creek Rd, Bedford, VA 24523-3935 | 2007-04-17 |
| 1548384340 | Cumberland Valley Township Volunteer Fire Company | Ambulance | 4344 Bedford Valley Rd, Bedford, PA 15522-5700 | 2007-03-19 |
| 1801903927 | New England Life Flight, Inc. | Ambulance | 150 Hanscom Dr, Bedford, MA 01730-2630 | 2006-08-24 |
| 1619918984 | Trimble County Fiscal Court | Ambulance | 4832 Hwy 421 N, Bedford, KY 40006 | 2006-06-09 |
| 1891740684 | Town of Bedford | Ambulance | 55 The Great Rd, Bedford, MA 01730-2152 | 2006-05-23 |
| 1407834203 | Bedford Area Ambulance Service | Ambulance | 130 W Vondersmith Ave, Bedford, PA 15522-1727 | 2006-01-03 |
| 1558354670 | Town of Bedford | Ambulance | 55 Constitution Dr, Bedford, NH 03110-6008 | 2005-08-24 |
| 1164776076 | County of Taylor | Ambulance | 622 Court Ave, Bedford, IA 50833-1303 | 2012-10-30 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.