1871623470 NPI number — CITY OF LEWISVILLE

Table of content: (NPI 1871623470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871623470 NPI number — CITY OF LEWISVILLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF LEWISVILLE
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:
6
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:
1871623470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 299002
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEWISVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75029-9002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-219-3580
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 W ROUND GROVE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75067-8309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-219-3558
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SPINUZZI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT CHIEF
Authorized Official Telephone Number:
972-219-3558

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  061005 , 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: 086452201 . This is a "COOKS CHILDREN HEALTH INS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 503829 . This is a "HORIZON MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 503829 . This is a "BLUE CROSS TEXAS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 503829 . This is a "BLUE CROSS FEDERAL TEXAS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 . This is a "PARKLAND COMMUNITY HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 . This is a "AMERICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 238341700 . This is a "TWCC" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 503829 . This is a "HMO BLUE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 590039900 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 . This is a "HMO BLUE STAR MEDICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452202 . This is a "CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 . This is a "TEXAS HEALTH NETWORK" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 086452201 . This is a "MEDICAID AETNS STAR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 503829 . This is a "STERLING OPTION I PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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