# CITY OF GRAPELAND

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

## Provider details

- **NPI number:** 1295830388
- **Authorized official:** MRS. CHASTITY LORI ANN LEBLANC PARAMEDIC (EMS ASSISTANTT CHIEF)
- **Authorized official phone:** (936) 687-2115

## Contact information

- **Practice address:** 126 SOUTH OAK, GRAPELAND, TX 75844
- **Practice address phone:** (936) 687-2115
- **Practice address fax:** (936) 687-2799
- **Mailing address:** PO BOX 567, GRAPELAND, TX 75844-0567
- **Mailing address phone:** (936) 687-2115
- **Mailing address fax:** (936) 687-2799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 113002 | TX | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0863888-01 | — | TX |