Organization
CITY OF CORSICANA
Active
Organization
CITY OF CORSICANA
Active
Other names
Corsicana Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
WADE GILLEN (ASSISTANT FIRE CHIEF)
(903) 654-4960
Entity
Organization
Contact information
Practice address
2975 DRANE RD, CORSICANA, TX 75110-0001
(903) 654-4956
(903) 874-6167
Mailing address
PO BOX 222059, DALLAS, TX 75222-2059
(877) 602-2060
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
300532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083632996
—
TX
01
—
590015432
RAILROAD MEDICARE
TX
01
—
AMB639
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/18/2006
Last updated
10/12/2023
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