Provider Demographics
NPI:1497860779
Name:CITY OF ANDREWS
Entity type:Organization
Organization Name:CITY OF ANDREWS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-PARAMEDIC
Authorized Official - Phone:432-523-4820
Mailing Address - Street 1:201 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-6502
Mailing Address - Country:US
Mailing Address - Phone:432-355-4561
Mailing Address - Fax:
Practice Address - Street 1:201 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-6502
Practice Address - Country:US
Practice Address - Phone:432-523-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000013501Medicaid
TX000013501Medicaid