Healthcare Provider Details

I. General information

NPI: 1477254506
Provider Name (Legal Business Name): CITY OF BORGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MEDICAL DRIVE
BORGER TX
79007
US

IV. Provider business mailing address

200 N CEDAR ST
BORGER TX
79007-4026
US

V. Phone/Fax

Practice location:
  • Phone: 806-201-2705
  • Fax:
Mailing address:
  • Phone: 806-201-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY STIEG
Title or Position: EMS DIRECTOR
Credential:
Phone: 806-201-2705