Provider Demographics
NPI:1346737814
Name:BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2
Entity Type:Organization
Organization Name:BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2
Other - Org Name:BLANCO COUNTY ESD 2
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OAKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, LP
Authorized Official - Phone:830-833-5239
Mailing Address - Street 1:PO BOX 972
Mailing Address - Street 2:
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-0972
Mailing Address - Country:US
Mailing Address - Phone:830-833-5239
Mailing Address - Fax:830-833-1032
Practice Address - Street 1:431 BLANCO AVE
Practice Address - Street 2:
Practice Address - City:BLANCO
Practice Address - State:TX
Practice Address - Zip Code:78606-2037
Practice Address - Country:US
Practice Address - Phone:830-833-5239
Practice Address - Fax:830-833-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX391522501Medicaid