Provider Demographics
NPI:1538163084
Name:CITY OF MERKEL
Entity type:Organization
Organization Name:CITY OF MERKEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:T
Authorized Official - Last Name:WETSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-928-4065
Mailing Address - Street 1:P.O. BOX 495548
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75049-5548
Mailing Address - Country:US
Mailing Address - Phone:214-340-2650
Mailing Address - Fax:214-503-7135
Practice Address - Street 1:100 KENT ST.
Practice Address - Street 2:
Practice Address - City:MERKEL
Practice Address - State:TX
Practice Address - Zip Code:79536-3612
Practice Address - Country:US
Practice Address - Phone:325-928-4065
Practice Address - Fax:325-928-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2210073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086515601Medicaid
TX504251Medicare PIN