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NPI Code Detail

MEDICARE: BRAZORIA COUNTY EMS INC

MEDICARE: BRAZORIA COUNTY EMS 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 Ambulance1000032TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AMB874OTHERTXBC/BS OF TEXAS PROVIDER #

General Provider Information

NPI Number : 1447454673
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAZORIA COUNTY EMS INC
Provider Business Mailing Address
First Line : PO BOX 3242
Second Line :
City : FREEPORT
State : TX
Zip : 77542-1442
Country : US
Telephone Number : 888-222-1335
Fax Number : 979-266-9211
Provider Business Practice Location Address
First Line : 223 N GULF BLVD
Second Line :
City : FREEPORT
State : TX
Zip : 77541-4305
Country : US
Telephone Number : 888-222-1335
Fax Number : 979-266-9211
Authorized Official
Title or Position : PRESIDENT
Name : MR. BILL H LOGAN
Credential :
Telephone Number : 888-222-1335
Provider Enumeration Date : 06/12/2007
Last Update Date : 05/01/2008

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Directions to “BRAZORIA COUNTY EMS INC ” Practice Location

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