1013154996 NPI number — GARRISON VOLUNTEER FIRE DEPT.

Table of content: (NPI 1013154996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013154996 NPI number — GARRISON VOLUNTEER FIRE DEPT.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARRISON VOLUNTEER FIRE DEPT.
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:
1013154996
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 33
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARRISON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75946-0033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-473-0927
Provider Business Mailing Address Fax Number:
832-778-5040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
634 S. B AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARRISON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-347-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
MASCHA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
BILLING SPECIALIST
Authorized Official Telephone Number:
903-473-0927

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1000197 , 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: PENDING , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com