Organization
COUNTY OF CROCKETT
Active
Other names
CROCKETT COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE MARTIN (EMS ADMINISTRATOR)
(325) 392-3404
Entity
Organization
Contact information
Practice address
105 MEDICAL DRIVE, OZONA, TX 76943
(325) 392-3404
(325) 392-3404
Mailing address
PO BOX 577, OZONA, TX 76943-0577
(325) 392-3404
(325) 392-3404
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
53001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086576801
—
TX
01
—
504706
BC/BS OF TEXAS
TX
Enumeration date
07/21/2006
Last updated
02/05/2024
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