1407941479 NPI number — CITY OF HARKER HEIGHTS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407941479 NPI number — CITY OF HARKER HEIGHTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF HARKER HEIGHTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407941479
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
305 MILLERS XING
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARKER HEIGHTS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76548-5666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-269-9726
Provider Business Mailing Address Fax Number:
270-274-4786

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 INDIAN TRAIL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARKER HEIGHTS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-699-2688
Provider Business Practice Location Address Fax Number:
254-699-7693
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GALLENSTEIN
Authorized Official First Name:
GLENN
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
254-699-2688

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  014009 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000095201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590009856 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com