Organization
COUNTY OF KENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD MILTON HEATH JR. (EMS DIRECTOR)
(806) 269-3111
Entity
Organization
Contact information
Practice address
831 S. MAIN, JAYTON, TX 79528-0185
(806) 237-2582
(806) 237-2582
Mailing address
PO BOX 41, JAYTON, TX 79528-0041
(806) 237-2582
(806) 237-2582
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
132001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864704-01
—
TX
01
—
503940
BC/BS
TX
Enumeration date
03/28/2007
Last updated
06/11/2012
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