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Organization

PECOS AMBULANCE SERVICE

Active
Other names
Pecos Volunteer Ambulance Service Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS THORP (EMS ADMINISTRATOR)
(432) 940-5725
Entity
Organization

Contact information

Practice address
324 S CEDAR ST, PECOS, TX 79772-3211
(432) 940-5725
(940) 239-0312
Mailing address
PO BOX 9, PECOS, TX 79772-0009
(732) 940-5725
(940) 239-0312

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
195001
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
503174
BS/BS OF TEXAS
TX
01
503174
RAILRAOD MEDICARE
Enumeration date
07/29/2006
Last updated
12/10/2007
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