Organization
GRAHAM HOSPITAL DISTRICT
Active
Other names
Graham/Young County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY HADDERTON (EMS DIRECTOR)
(940) 521-5316
Entity
Organization
Contact information
Practice address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(940) 521-5316
(940) 521-5155
Mailing address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(940) 521-5316
(940) 521-5155
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1000930
TX
341600000X
Ambulance
1000930
—
3416L0300X
Land Ambulance
Primary
1000930
TX
3416L0300X
Land Ambulance
252003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000930
EMS PROVIDER LICENSE
TX
01
—
252003
STATE LICENSE
TX
Enumeration date
01/13/2012
Last updated
03/08/2022
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