Provider Demographics
NPI:1790507275
Name:BORDEN COUNTY EMERGENCY SQUAD
Entity type:Organization
Organization Name:BORDEN COUNTY EMERGENCY SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEENE
Authorized Official - Suffix:
Authorized Official - Credentials:ADV EMT
Authorized Official - Phone:806-758-1189
Mailing Address - Street 1:PO BOX 291
Mailing Address - Street 2:
Mailing Address - City:GAIL
Mailing Address - State:TX
Mailing Address - Zip Code:79738-0291
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 E WASSON
Practice Address - Street 2:
Practice Address - City:GAIL
Practice Address - State:TX
Practice Address - Zip Code:79738
Practice Address - Country:US
Practice Address - Phone:806-758-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies