Organization
BLANCO VOLUNTEER AMBULANCE CORP. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J OAKLEY MPA, LP (CHIEF)
(830) 833-5239
Entity
Organization
Contact information
Practice address
607 CHANDLER, BLANCO, TX 78606
(830) 833-5239
(830) 833-1032
Mailing address
PO BOX 632, BLANCO, TX 78606-0632
(830) 833-5239
(830) 833-1032
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
016001
TX
3416L0300X
Land Ambulance
Primary
016001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120801
—
TX
Enumeration date
06/13/2006
Last updated
01/23/2018
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