Organization
MATAGORDA COUNTY EMS I, LLC
Active
Organization
MATAGORDA COUNTY EMS I, LLC
Active
Other names
Matagorda County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FARRIS (EXEC. DIRECTOR)
(409) 289-0074
Entity
Organization
Contact information
Practice address
2900 HAMMAN RD, BAY CITY, TX 77414-8622
(979) 244-5568
Mailing address
PO BOX 22578, BEAUMONT, TX 77720-2578
(409) 812-1017
(866) 206-2306
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179300201
—
TX
01
—
AMB798
BC/BS
TX
Enumeration date
08/29/2006
Last updated
10/30/2013
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