Organization
CITY OF SUNRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R BUMPAS JR. EMT-PARAMEDIC (EMS DIRECTOR)
(806) 948-4111
Entity
Organization
Contact information
Practice address
415 MAIN ST, SUNRAY, TX 79086
(806) 930-5791
(806) 948-4485
Mailing address
PO BOX 180446, DALLAS, TX 75218-0446
(972) 602-2060
(903) 887-1863
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
171002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009301
—
TX
01
—
102942100
FIRSTCARE
TX
01
—
P00724454
RAIL ROAD ID#
TX
Enumeration date
07/18/2006
Last updated
03/10/2011
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