Organization
NORTHEAST MIDLAND COUNTY VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL COPELAND (CREDENTIALING REP)
(806) 787-6764
Entity
Organization
Contact information
Practice address
3810 N COUNTY ROAD 1130, MIDLAND, TX 79705
(432) 695-6879
Mailing address
PO BOX 10005, MIDLAND, TX 79702-7005
(432) 695-6879
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000966
STATE LICENSE
TX
Enumeration date
06/20/2018
Last updated
06/20/2018
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