# CITY OF BOVINA

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

## Provider details

- **NPI number:** 1134197692
- **Authorized official:** MR. LARRY G MITCHELL LICENSED PARAMEDIC (DIRECTOR)
- **Authorized official phone:** (806) 251-1167

## Contact information

- **Practice address:** 205 NORTH STREET, BOVINA, TX 79009-0720
- **Practice address phone:** (806) 251-1116
- **Practice address fax:** (806) 251-1805
- **Mailing address:** P.O. BOX 720, BOVINA, TX 79009-0720
- **Mailing address phone:** (806) 251-1116
- **Mailing address fax:** (806) 251-1805

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 11/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000086101 | — | TX |