Organization
THE EAGLE MOUNTAIN VOLUNTEER FIRE DEPARTMENT
Active
Other names
Eagle Mountain Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARTON (FIRE CHIEF)
(817) 236-8044
Entity
Organization
Contact information
Practice address
9500 LIVE OAK LN, FORT WORTH, TX 76179-4061
(866) 398-8999
(866) 724-5995
Mailing address
9500 LIVE OAK LN, FORT WORTH, TX 76179-4061
(817) 236-8044
(817) 236-3923
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
220033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000178601
—
TX
01
—
507572
BC/BS OF TEXAS
TX
Enumeration date
07/23/2006
Last updated
08/03/2015
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