MEDICARE: ARANSAS COUNTY MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	004003	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083606347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARANSAS COUNTY MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	400 ENTERPRISE BLVD
Second Line	:	SUITE B
City	:	ROCKPORT
State	:	TX
Zip	:	78382-4333
Country	:	US
Telephone Number	:	361-729-5618
Fax Number	:	361-729-5431

Provider Business Practice Location Address
First Line	:	400 ENTERPRISE BLVD
Second Line	:	SUITE B
City	:	ROCKPORT
State	:	TX
Zip	:	78382-4333
Country	:	US
Telephone Number	:	361-729-5618
Fax Number	:	361-729-5431

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	MR. BOBBY CLOSE
Credential	:
Telephone Number	:	361-729-5618

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	12/28/2010

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