Organization
GRAHAM HOSPITAL DISTRICT
Active
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
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
Update your record
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