Provider Demographics
NPI:1194918193
Name:RANKIN VOLUNTEER AMBULANCE SERVICE
Entity type:Organization
Organization Name:RANKIN VOLUNTEER AMBULANCE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:432-693-2570
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:RANKIN
Mailing Address - State:TX
Mailing Address - Zip Code:79778
Mailing Address - Country:US
Mailing Address - Phone:432-693-6281
Mailing Address - Fax:432-693-2471
Practice Address - Street 1:904 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:RANKIN
Practice Address - State:TX
Practice Address - Zip Code:79778
Practice Address - Country:US
Practice Address - Phone:432-693-6281
Practice Address - Fax:432-693-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231005341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance