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Organization
TIMPSON VOLUNTEER AMBULANCE SERVICE, INC.
Active
Organization
TIMPSON VOLUNTEER AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY ANN LEE EMT-LP/CRTT (ADMINISTRATOR)
(936) 554-0988
Entity
Organization
Contact information
Practice address
159 AUSTIN ST., TIMPSON, TX 75975
(936) 254-2375
(936) 254-2375
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
210004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084601
—
TX
01
—
505797
BCBS TEXAS
TX
01
—
590014118
RAILROAD
—
Enumeration date
06/10/2005
Last updated
01/10/2017
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