Organization
CITY OF WHARTON EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA MEDINA (PRESIDENT BILLING MGR)
(979) 282-9955
Entity
Organization
Contact information
Practice address
2010 N FULTON ST, WHARTON, TX 77488-2823
(979) 532-4811
(979) 532-2459
Mailing address
PO BOX 1239, WHARTON, TX 77488-1239
(979) 282-9955
(979) 532-5481
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
241001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086434001
—
TX
Enumeration date
03/06/2007
Last updated
06/08/2022
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