# CITY OF WHARTON EMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114057742
- **Authorized official:** MRS. DEBRA MEDINA (PRESIDENT BILLING MGR)
- **Authorized official phone:** (979) 282-9955

## Contact information

- **Practice address:** 2010 N FULTON ST, WHARTON, TX 77488-2823
- **Practice address phone:** (979) 532-4811
- **Practice address fax:** (979) 532-2459
- **Mailing address:** PO BOX 1239, WHARTON, TX 77488-1239
- **Mailing address phone:** (979) 282-9955
- **Mailing address fax:** (979) 532-5481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 241001 | TX | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 06/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086434001 | — | TX |