Organization
STAT SERVICES OF JASPER COUNTY A, LLP
Active
Other names
Stat Care EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE B CARROLL (DIRECTOR BILLING/ OWNER)
(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
05
—
187748201
—
TX
01
—
AMB697
BC/BS
TX
01
—
GTPA1
GTPA
TX
Enumeration date
01/03/2008
Last updated
06/14/2010
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