Provider Demographics
NPI:1598386633
Name:EAST TEXAS COUNCIL OF GOVERNMENTS/GOBUS
Entity Type:Organization
Organization Name:EAST TEXAS COUNCIL OF GOVERNMENTS/GOBUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-218-6435
Mailing Address - Street 1:3800 STONE RD
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-6927
Mailing Address - Country:US
Mailing Address - Phone:903-218-6435
Mailing Address - Fax:
Practice Address - Street 1:3800 STONE RD
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-6927
Practice Address - Country:US
Practice Address - Phone:903-218-6435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)