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Organization

STAT SERVICES OF JEFFERSON COUNTY A, LLP

Active
Other names
Stat Care EMS
Organization subpart
No

Provider details

NPI number
Authorized official
KATE CARROLL (DIRECTOR BILLING - OFFICE MANAGER)
(409) 833-3834
Entity
Organization

Contact information

Practice address
3720 CORLEY ST, BEAUMONT, TX 77701-6431
(409) 833-3834
(409) 833-2060
Mailing address
PO BOX 552, BEAUMONT, TX 77704-0552
(409) 833-3834
(409) 833-2060

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
123036
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105453300
US DEPT OF LABOR WC
TX
01
1430324
TEXAS HEALTHSPRINGS
TX
05
163505401
TX
01
18998
USFHP TEXAS
TX
01
80705
GREAT WEST
TX
01
AMB699
BLUE CROSS BLUE SHIELD
TX
01
GTPA1
TEXAN PLUS
TX
01
P00086266
RAILROAD MEDICARE
Enumeration date
12/05/2005
Last updated
06/14/2010
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