Provider Demographics
NPI:1083606347
Name:ARANSAS COUNTY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ARANSAS COUNTY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-729-5618
Mailing Address - Street 1:400 ENTERPRISE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-4333
Mailing Address - Country:US
Mailing Address - Phone:361-729-5618
Mailing Address - Fax:361-729-5431
Practice Address - Street 1:400 ENTERPRISE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-4333
Practice Address - Country:US
Practice Address - Phone:361-729-5618
Practice Address - Fax:361-729-5431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0040033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000049901Medicaid
TX000049901Medicaid