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Organization

STAT SERVICES OF JASPER COUNTY A, LLP

Active
Other names
Stat Care EMS
Organization subpart
No

Provider details

NPI number
Authorized official
KATE CARROLL (DIRECTOR BILLING - OFFICE MANAGER)
(409) 833-3834
Entity
Organization

Contact information

Practice address
2418 N WHEELER ST, JASPER, TX 75951-2115
(409) 833-3834
(409) 833-2060
Mailing address
PO BOX 552, BEAUMONT, TX 77704-0552
(409) 833-3834
(409) 833-2060

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
121101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21160
USFHP
TX
01
80705
GREAT WEST
TX
01
AMB697
BLUE CROSS BLUE SHEILD
TX
01
GTPA1
SECURE HORIZONS
TX
Enumeration date
12/05/2005
Last updated
04/20/2008
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