# PECOS AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pecos Volunteer Ambulance Service Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548275514
- **Authorized official:** DENNIS THORP (EMS ADMINISTRATOR)
- **Authorized official phone:** (432) 940-5725

## Contact information

- **Practice address:** 324 S CEDAR ST, PECOS, TX 79772-3211
- **Practice address phone:** (432) 940-5725
- **Practice address fax:** (940) 239-0312
- **Mailing address:** PO BOX 9, PECOS, TX 79772-0009
- **Mailing address phone:** (732) 940-5725
- **Mailing address fax:** (940) 239-0312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 195001 | TX | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 503174 | BS/BS OF TEXAS | TX |
| 01 | — | 503174 | RAILRAOD MEDICARE | — |