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Organization
PECOS AMBULANCE SERVICE
Active
Organization
PECOS AMBULANCE SERVICE
Active
Other names
Pecos Volunteer Ambulance Service Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS THORP (EMS ADMINISTRATOR)
(432) 940-5725
Entity
Organization
Contact information
Practice address
324 S CEDAR ST, PECOS, TX 79772-3211
(432) 940-5725
(940) 239-0312
Mailing address
PO BOX 9, PECOS, TX 79772-0009
(732) 940-5725
(940) 239-0312
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
195001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503174
BS/BS OF TEXAS
TX
01
—
503174
RAILRAOD MEDICARE
—
Enumeration date
07/29/2006
Last updated
12/10/2007
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