Organization
RURAL AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FONTENOT (SERVICE DIRECTOR)
(713) 855-6311
Entity
Organization
Contact information
Practice address
1676 US HIGHWAY 90A W, HALLETTSVILLE, TX 77964-5733
(361) 798-2200
(361) 798-2205
Mailing address
PO BOX 907, HALLETTSVILLE, TX 77964-0907
(361) 798-2200
(361) 798-2205
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000407
AMBULANCE LICENSE NUMBER
TX
Enumeration date
03/30/2010
Last updated
03/30/2010
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