Provider Demographics
NPI:1487193629
Name:CITY OF RALLS
Entity Type:Organization
Organization Name:CITY OF RALLS
Other - Org Name:RALLS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-253-2558
Mailing Address - Street 1:800 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:RALLS
Mailing Address - State:TX
Mailing Address - Zip Code:79357-3500
Mailing Address - Country:US
Mailing Address - Phone:806-253-2558
Mailing Address - Fax:806-253-2550
Practice Address - Street 1:800 AVE I
Practice Address - Street 2:
Practice Address - City:RALLS
Practice Address - State:TX
Practice Address - Zip Code:79357
Practice Address - Country:US
Practice Address - Phone:806-253-2558
Practice Address - Fax:806-253-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX08651640Medicaid
TX08651640Medicaid