Organization
EAST TEXAS FLIGHT AMBULANCE
Active
Parent organization
EAST TEXAS MEDICAL CENTER
Other names
Air One East Texas Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS MEDICAL CENTER
Authorized official
MRS. TERRI K. ROWDEN RN, BSN (DIRECTOR AIR ONE)
(903) 531-8285
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8285
(903) 596-3298
Mailing address
PO BOX 6838, TYLER, TX 75711-6838
(903) 531-8285
(903) 596-3298
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
212022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020812602
—
TX
01
—
152677FY
PREFERRED CARE
TX
01
—
751803325
TRICARE
TX
01
—
AMB014
BC/BS
TX
Enumeration date
10/17/2006
Last updated
03/27/2015
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