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NPI Code Detail

MEDICARE: SAN SABA COUNTY EMERGENCY MEDICAL SERVICE INC

MEDICARE: SAN SABA COUNTY EMERGENCY MEDICAL SERVICE 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
13416L0300XLand Ambulance206002TX

Other Identifiers

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

General Provider Information

NPI Number : 1306840079
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN SABA COUNTY EMERGENCY MEDICAL SERVICE INC
Provider Business Mailing Address
First Line : 607 E WALLACE ST
Second Line :
City : SAN SABA
State : TX
Zip : 76877-4702
Country : US
Telephone Number : 325-372-6016
Fax Number : 325-372-3809
Provider Business Practice Location Address
First Line : 607 E COMMERCE ST
Second Line :
City : SAN SABA
State : TX
Zip : 76877-4702
Country : US
Telephone Number : 325-372-6016
Fax Number :
Authorized Official
Title or Position : EMS DIRECTOR
Name : PATRICIA A PRATT
Credential : LICENSED PARAMEDIC
Telephone Number : 325-372-6016
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/25/2012

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Directions to “SAN SABA COUNTY EMERGENCY MEDICAL SERVICE INC ” Practice Location

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