# COUNTY OF JEFF DAVIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeff Davis County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023209582
- **Authorized official:** MRS. VICKIE L FOWLER (EMS DIRECTOR)
- **Authorized official phone:** (432) 426-3791

## Contact information

- **Practice address:** 201 W COURT AVE, FORT DAVIS, TX 79734
- **Practice address phone:** (432) 426-3791
- **Mailing address:** 201 W COURT AVE, FORT DAVIS, TX 79734
- **Mailing address phone:** (432) 426-3791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 122002 | TX | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0004525-01 | — | TX |
