Provider Demographics
NPI:1902180870
Name:BOOKER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:BOOKER HOSPITAL DISTRICT
Other - Org Name:BOOKER EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:806-650-2366
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:BOOKER
Mailing Address - State:TX
Mailing Address - Zip Code:79005-0429
Mailing Address - Country:US
Mailing Address - Phone:806-650-2366
Mailing Address - Fax:806-650-2367
Practice Address - Street 1:214 SOUTH MAIN
Practice Address - Street 2:
Practice Address - City:BOOKER
Practice Address - State:TX
Practice Address - Zip Code:79005
Practice Address - Country:US
Practice Address - Phone:806-650-2366
Practice Address - Fax:806-650-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000575341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance