Provider Demographics
NPI:1336867167
Name:BLANCO COUNTY COMMUNITY HEALTH PARAMEDIC PROGRAM
Entity Type:Organization
Organization Name:BLANCO COUNTY COMMUNITY HEALTH PARAMEDIC PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, ADMINISTRATION & EMS
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OAKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA, LP
Authorized Official - Phone:830-833-5239
Mailing Address - Street 1:PO BOX 972
Mailing Address - Street 2:
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-0972
Mailing Address - Country:US
Mailing Address - Phone:830-984-4100
Mailing Address - Fax:830-984-4150
Practice Address - Street 1:206 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TX
Practice Address - Zip Code:78636-4662
Practice Address - Country:US
Practice Address - Phone:830-984-4100
Practice Address - Fax:830-984-4150
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health