Organization
SHACKELFORD COUNTY HOSPITAL DISTRICT
Active
Other names
Shackelford County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN SHERMAN (BUSINESS MANAGER)
(325) 762-2892
Entity
Organization
Contact information
Practice address
432 KENSHALO ST, ALBANY, TX 76430-1507
(325) 762-3313
(325) 762-2342
Mailing address
PO BOX 1507, 432 KENSHALO ST, ALBANY, TX 76430-1507
(325) 762-3313
(325) 762-2342
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
209004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506003
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/18/2005
Last updated
08/22/2020
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