Provider Demographics
NPI:1669874186
Name:ROLLING PLAINS MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:ROLLING PLAINS MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-684-1571
Mailing Address - Street 1:BOX 490
Mailing Address - Street 2:
Mailing Address - City:CROWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79227
Mailing Address - Country:US
Mailing Address - Phone:940-684-1571
Mailing Address - Fax:940-684-1853
Practice Address - Street 1:118 N. 1ST STREET
Practice Address - Street 2:
Practice Address - City:CROWELL
Practice Address - State:TX
Practice Address - Zip Code:79222
Practice Address - Country:US
Practice Address - Phone:940-684-1571
Practice Address - Fax:940-684-1853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06400651347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus