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Organization

CITY OF DEVINE AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE FARRIS LIC-P (ADMINISTRATOR)
(830) 663-2121
Entity
Organization

Contact information

Practice address
303 S TEEL DR, DEVINE, TX 78016-3211
(830) 663-2121
(830) 663-2500
Mailing address
303 S TEEL DR, DEVINE, TX 78016-3211
(830) 663-2121

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
163004
TX
3416L0300X
Land Ambulance
Primary
163004
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
504280
BCFED
TX
Enumeration date
01/02/2007
Last updated
09/26/2007
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