# EAST COKE COUNTY AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1760496483
- **Authorized official:** STEPHEN SALMON (EMS ADMINISTRATOR)
- **Authorized official phone:** (325) 224-3047

## Contact information

- **Practice address:** 114 S. WASHINGTON, BRONTE, TX 76933
- **Practice address phone:** (325) 224-3047
- **Practice address fax:** (325) 224-3047
- **Mailing address:** PO BOX 357, BRONTE, TX 76933-0357
- **Mailing address phone:** (325) 224-3047
- **Mailing address fax:** (325) 224-3047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 041001 | TX | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 01/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000102601 | — | TX |
| 01 | — | 506277 | BC/BS OF TEXAS | TX |