Organization
NORTHEAST GAINES COUNTY EMERGENCY SERVICE DISTRICT 1
Active
Other names
Seagraves / Loop EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA JO LAMBERT EMT-P (BILLING OFFICE)
(806) 487-6730
Entity
Organization
Contact information
Practice address
1404 AVE E, SEAGRAVES, TX 79359-9502
(806) 487-6730
(806) 487-6714
Mailing address
RR 1 BOX 125, SEAGRAVES, TX 79359-9502
(806) 487-6730
(806) 487-6714
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
083002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003204-01
—
TX
01
—
105909100
FIRSTCARE ID #
TX
Enumeration date
09/20/2006
Last updated
09/20/2010
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