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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