Provider Demographics
NPI:1952452781
Name:DICKENS COUNTY AMBULANCE SERVICE
Entity Type:Organization
Organization Name:DICKENS COUNTY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDINBURGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-271-4838
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:DICKENS
Mailing Address - State:TX
Mailing Address - Zip Code:79229-0165
Mailing Address - Country:US
Mailing Address - Phone:806-271-4838
Mailing Address - Fax:806-271-4839
Practice Address - Street 1:2414 STATE HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:SPUR
Practice Address - State:TX
Practice Address - Zip Code:79370
Practice Address - Country:US
Practice Address - Phone:806-271-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX063002341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX504647Medicare PIN