Organization
PARKER COUNTY HOSPITAL DISTRICT
Active
Other names
Lifecare EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BACUS (CHIEF EXECUTIVE OFFICER)
(817) 341-2520
Entity
Organization
Contact information
Practice address
725 STATE ST, WEATHERFORD, TX 76086-5777
(817) 599-1197
Mailing address
1115 PECAN DR, WEATHERFORD, TX 76086-5775
(817) 599-1196
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132813002
—
TX
05
—
185244401
—
TX
Enumeration date
08/08/2006
Last updated
11/16/2022
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