Organization
CITY OF IDALOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL COPELAND REG MA (BILLING MGR)
(806) 787-6764
Entity
Organization
Contact information
Practice address
914 FRONTAGE RD, IDALOU, TX 79329
(806) 892-2531
(806) 892-3298
Mailing address
PO BOX 1277, IDALOU, TX 79329-1277
(806) 787-6764
(806) 892-3298
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015001
—
TX
01
—
P00104241
MEDICARE RAIL ROAD
TX
Enumeration date
06/13/2005
Last updated
10/09/2025
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