Organization
COUNTY OF WARD
Active
Other names
Ward County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ENRIQUEZ PARAMEDIC (EMS DIRECTOR)
(432) 943-8622
Entity
Organization
Contact information
Practice address
401 SOUTH CALVIN, MONAHANS, TX 79756
(432) 943-8622
(432) 943-2619
Mailing address
400 S ALLEN AVE, MONAHANS, TX 79756-4603
(432) 943-8622
(432) 943-2619
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
238003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074411-01
—
TX
01
—
2074411-02
MEDICAID CSHCN
TX
Enumeration date
02/03/2009
Last updated
06/17/2022
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