Organization
FREEDOM AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN BENSON EMTP (OWNER)
(361) 358-4808
Entity
Organization
Contact information
Practice address
104 S JEFFERSON ST, BEEVILLE, TX 78102-4830
(361) 358-4808
(361) 358-4810
Mailing address
104 S JEFFERSON ST, BEEVILLE, TX 78102-4830
(361) 358-4808
(361) 358-4810
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187627802
—
TX
01
—
AMB871
BCBS PIN
TX
Enumeration date
05/21/2007
Last updated
10/15/2013
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