Provider Demographics
NPI:1316932239
Name:COUNTY OF COOKE
Entity type:Organization
Organization Name:COUNTY OF COOKE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-668-5560
Mailing Address - Street 1:305 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4707
Mailing Address - Country:US
Mailing Address - Phone:940-668-5560
Mailing Address - Fax:940-665-5287
Practice Address - Street 1:301 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4768
Practice Address - Country:US
Practice Address - Phone:940-668-5560
Practice Address - Fax:940-665-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0490043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX049004OtherDSHS
TX1316932239Medicaid
TX505588Medicare PIN