# SOMERVELL COUNTY FIRE DEPARTMENT

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

## Provider details

- **NPI number:** 1225414832
- **Authorized official:** MARK CRAWFORD (FIRE CHIEF)
- **Authorized official phone:** (817) 690-6163

## Contact information

- **Practice address:** 111 SHEPARD STREET, GLEN ROSE, TX 76043-4861
- **Practice address phone:** (254) 897-2135
- **Practice address fax:** (254) 897-4568
- **Mailing address:** 111 SHEPARD STREET, GLEN ROSE, TX 76043-4861
- **Mailing address phone:** (254) 897-2135
- **Mailing address fax:** (254) 897-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 213004 | TX | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1912016106 | NOVITAS SOLUTIONS | TX |
| 01 | — | 45D1027599 | CENTERS FOR MEDICARE AND MEDICAID SERVICES (CLIA) | TX |