Organization
METROCARE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE KNUPPLE (GENERAL MANAGER)
(325) 691-8906
Entity
Organization
Contact information
Practice address
3734 HIGHWAY 69 N, NEDERLAND, TX 77627-8818
(409) 729-0212
(409) 729-0098
Mailing address
PO BOX 26018, DEPT 8002, BEAUMONT, TX 77720-6018
(325) 691-8906
(325) 691-1547
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
600006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB546
BLUE CROSS BLUE SHEILD
TX
Enumeration date
07/26/2005
Last updated
11/28/2007
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