# EDGECLIFF VILLAGE EMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town of Edgecliff Village EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174538011
- **Authorized official:** CHRISTOPHER YOUNG (EMS ADMINISTRATOR)
- **Authorized official phone:** (817) 293-4313

## Contact information

- **Practice address:** 1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
- **Practice address phone:** (817) 293-4313
- **Practice address fax:** (817) 293-4660
- **Mailing address:** 1605 EDGECLIFF RD, FORT WORTH, TX 76134-1121
- **Mailing address phone:** (817) 293-4313
- **Mailing address fax:** (817) 293-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 220001 | TX | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 12/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 508856 | BC/BS OF TEXAS | TX |