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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