1972727451 NPI number — CITY OF YOAKUM

Table of content: (NPI 1972727451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972727451 NPI number — CITY OF YOAKUM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF YOAKUM
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:
1972727451
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 IRVINE ST
Provider Second Line Business Mailing Address:
P O DRAWER 738
Provider Business Mailing Address City Name:
YOAKUM
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77995-2928
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
136-229-3632
Provider Business Mailing Address Fax Number:
136-129-3318

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 NELSON ST
Provider Second Line Business Practice Location Address:
P O DRAWER 738
Provider Business Practice Location Address City Name:
YOAKUM
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77995-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-293-5125
Provider Business Practice Location Address Fax Number:
361-293-3318
Provider Enumeration Date:
04/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MORROW
Authorized Official First Name:
CHARLOTTE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
13612936321

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  062001 , 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)