1073516548 NPI number — CITY OF LONGVIEW

Table of content: (NPI 1073516548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073516548 NPI number — CITY OF LONGVIEW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF LONGVIEW
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:
1073516548
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1952
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONGVIEW
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75606-1952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-237-1232
Provider Business Mailing Address Fax Number:
903-234-8919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONGVIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75601-7447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-202-3067
Provider Business Practice Location Address Fax Number:
903-234-8919
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LAWRENCE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
EMS CHIEF
Authorized Official Telephone Number:
903-431-0432

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 086184101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com