Organization
EAST COKE COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SALMON (EMS ADMINISTRATOR)
(325) 224-3047
Entity
Organization
Contact information
Practice address
114 S. WASHINGTON, BRONTE, TX 76933
(325) 224-3047
(325) 224-3047
Mailing address
PO BOX 357, BRONTE, TX 76933-0357
(325) 224-3047
(325) 224-3047
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
041001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000102601
—
TX
01
—
506277
BC/BS OF TEXAS
TX
Enumeration date
07/28/2006
Last updated
01/09/2017
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