Organization
STONEWALL COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KAY HEIDENHEIMER (EMS DIRECTOR)
(940) 989-3551
Entity
Organization
Contact information
Practice address
821 N BROADWAY ST, ASPERMONT, TX 79502-2029
(940) 989-3551
(940) 989-3395
Mailing address
PO BOX 457, ASPERMONT, TX 79502-0457
(940) 989-3551
(940) 989-3395
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
217003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510075-01
—
TX
01
—
AMB501
BLUE CROSS BLUE SHEILD
TX
01
—
P00227345
RAILROAD MEDICARE
TX
Enumeration date
03/14/2007
Last updated
08/04/2015
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