Organization
CITY OF SHALLOWATER
Active
Other names
City of Shallowater EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA CUMMINGS (EMS BILLING)
(806) 832-4521
Entity
Organization
Contact information
Practice address
607 AVENUE G, SHALLOWATER, TX 79363-5709
(806) 832-4521
(806) 832-4495
Mailing address
PO BOX 246, SHALLOWATER, TX 79363-0246
(806) 832-0609
(806) 832-5373
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
152012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866196-01
—
TX
01
—
105942100
FIRSTCARE
TX
Enumeration date
12/01/2006
Last updated
08/12/2010
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