Provider Demographics
NPI:1053319236
Name:COUNTY OF BAILEY
Entity Type:Organization
Organization Name:COUNTY OF BAILEY
Other - Org Name:BAILEY COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BAIZE
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:806-272-4390
Mailing Address - Street 1:1315 W AMERICAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MULESHOE
Mailing Address - State:TX
Mailing Address - Zip Code:79347-3121
Mailing Address - Country:US
Mailing Address - Phone:806-272-4390
Mailing Address - Fax:806-272-3141
Practice Address - Street 1:1315 W AMERICAN BLVD
Practice Address - Street 2:
Practice Address - City:MULESHOE
Practice Address - State:TX
Practice Address - Zip Code:79347-3121
Practice Address - Country:US
Practice Address - Phone:806-272-4390
Practice Address - Fax:806-272-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000304801Medicaid
TX000304801Medicaid