Organization
CITY-COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY KEITH TIDWELL NREMT-P (EMS ADMINISTRATOR)
(806) 495-1813
Entity
Organization
Contact information
Practice address
608 W 6TH ST, POST, TX 79356-3629
(806) 495-1813
(806) 495-1195
Mailing address
608 W 6TH ST, POST, TX 79356-3629
(806) 495-1813
(806) 495-1195
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
085001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000504098
BLUE CROSS/BLUE SHIELD
TX
05
—
0864928-01
—
TX
01
—
102877100
FIRST CARE
TX
Enumeration date
05/27/2006
Last updated
01/03/2012
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