Provider Demographics
NPI:1609064120
Name:CULBERSON COUNTRY EMS
Entity Type:Organization
Organization Name:CULBERSON COUNTRY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O./ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:LADELLE
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-283-2760
Mailing Address - Street 1:P.O. BOX 609
Mailing Address - Street 2:800 EISENHOWER & FM2185
Mailing Address - City:VAN HORN
Mailing Address - State:TX
Mailing Address - Zip Code:79855-0609
Mailing Address - Country:US
Mailing Address - Phone:432-283-2760
Mailing Address - Fax:432-283-2581
Practice Address - Street 1:800 EISENHOWER
Practice Address - Street 2:
Practice Address - City:VAN HORN
Practice Address - State:TX
Practice Address - Zip Code:79855-0609
Practice Address - Country:US
Practice Address - Phone:432-283-2760
Practice Address - Fax:432-283-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0550013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport