Organization
CITY OF ROANOKE
Active
Other names
Roanoke Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ADDINGTON (FIRE CHIEF)
(817) 491-2301
Entity
Organization
Contact information
Practice address
201 FAIRWAY DR, ROANOKE, TX 76262-3752
(214) 340-2650
(214) 503-7135
Mailing address
PO BOX 495548, GARLAND, TX 75049-5548
(214) 340-2650
(214) 503-7135
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
057067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507100
BLUE CROSS BLUE SHIELD
TX
01
—
590012425
RAILROAD MEDICARE
TX
Enumeration date
02/02/2007
Last updated
09/26/2023
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