Provider Demographics
NPI:1003810698
Name:COUNTY OF HARDEMAN
Entity Type:Organization
Organization Name:COUNTY OF HARDEMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-663-2911
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:QUANAH
Mailing Address - State:TX
Mailing Address - Zip Code:79252-0030
Mailing Address - Country:US
Mailing Address - Phone:903-473-0927
Mailing Address - Fax:832-778-5040
Practice Address - Street 1:402 MERCER ST
Practice Address - Street 2:
Practice Address - City:QUANAH
Practice Address - State:TX
Practice Address - Zip Code:79252
Practice Address - Country:US
Practice Address - Phone:888-473-0920
Practice Address - Fax:832-877-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0990063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000499601Medicaid
TX000499601Medicaid