Provider Demographics
NPI:1477682508
Name:CITY OF RANGER
Entity Type:Organization
Organization Name:CITY OF RANGER
Other - Org Name:CITY OF RANGER FIRE DEPARTMENT & EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:DARRELL
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-647-1505
Mailing Address - Street 1:500 E LOOP 254
Mailing Address - Street 2:
Mailing Address - City:RANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76470-2116
Mailing Address - Country:US
Mailing Address - Phone:254-647-1505
Mailing Address - Fax:254-647-3398
Practice Address - Street 1:500 E LOOP 254
Practice Address - Street 2:
Practice Address - City:RANGER
Practice Address - State:TX
Practice Address - Zip Code:76470-2116
Practice Address - Country:US
Practice Address - Phone:254-647-1505
Practice Address - Fax:254-647-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX067003341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477682508OtherBC/BS
TX000436801Medicaid
TX515266Medicare ID - Type Unspecified