Organization
SHACKELFORD COUNTY HOSPITAL DISTRICT
Active
Other names
Shackelford County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF S DAVIS (BOARD MEMBER)
(325) 762-3313
Entity
Organization
Contact information
Practice address
432 KENSHALO, ALBANY, TX 76430
(325) 762-3313
(325) 762-2342
Mailing address
432 KENSHALO, ALBANY, TX 76430
(325) 762-3313
(325) 762-2342
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
209004
TX
341600000X
Ambulance
209004
TX
3416L0300X
Land Ambulance
Primary
209004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158946701
—
TX
Enumeration date
10/19/2006
Last updated
12/02/2011
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