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Organization
FIRST RESPONSE EMS
Active
Organization
FIRST RESPONSE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM ANN BACCO RN (DIRECTOR)
(214) 517-4593
Entity
Organization
Contact information
Practice address
2611 N BELT LINE RD, SUITE 138, SUNNYVALE, TX 75182-9301
(972) 289-4645
(972) 289-4611
Mailing address
PO BOX 850408, MESQUITE, TX 75185-0408
(972) 289-4645
(972) 289-4611
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
057101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011110
AMERIGROUP
TX
01
—
7459878
CIGNA
TX
01
—
P00101522
RAILROAD MEDICARE
TX
Enumeration date
04/18/2007
Last updated
08/22/2020
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