# COUNTY OF COTTLE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Paducah Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114355625
- **Authorized official:** TANA JO DETWILER (EMS DIRECTOR)
- **Authorized official phone:** (806) 492-2336

## Contact information

- **Practice address:** 808 10TH STREET, PADUCAH, TX 79248-0502
- **Practice address phone:** (806) 492-2336
- **Mailing address:** 808 10TH STREET, PO BOX 502, PADUCAH, TX 79248-0502
- **Mailing address phone:** (806) 492-2336
- **Mailing address fax:** (806) 492-2049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 051002 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2013
- **Last updated:** 06/12/2024