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Organization
EDGECLIFF VILLAGE EMS
Active
Organization
EDGECLIFF VILLAGE EMS
Active
Other names
Town of Edgecliff Village EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER YOUNG (EMS ADMINISTRATOR)
(817) 293-4313
Entity
Organization
Contact information
Practice address
1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
(817) 293-4313
(817) 293-4660
Mailing address
1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
(817) 293-4313
(817) 293-4660
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
220001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
508856
BC/BS OF TEXAS
TX
Enumeration date
07/29/2006
Last updated
12/10/2007
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