1922146034 NPI number — CITY OF CEDAR HILL

Table of content: (NPI 1922146034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922146034 NPI number — CITY OF CEDAR HILL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF CEDAR HILL
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:
CEDAR HILL FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
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:
1922146034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3689
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77487-3310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-631-4452
Provider Business Mailing Address Fax Number:
937-291-2971

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1212 W BELT LINE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR HILL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75104-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-291-1011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HARRISON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIVISION CHIEF
Authorized Official Telephone Number:
972-291-5100

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  57010 , 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: 514799 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000413701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590014341 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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