| Organization Name: | WEST COKE COUNTY EMERGENCY MEDICAL SERVICE |
| NPI Number: | 1790780252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAN MAGNESS (DIRECTOR) |
| Mailing Address: | 801 North Highway 208 Robert Lee |
| State: | TX US |
| Postal Code: | 76945 |
| Phone Number: | 3254532511 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 041002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |