Healthcare Provider Details

I. General information

NPI: 1679941116
Provider Name (Legal Business Name): CITY OF CROSS PLAINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 NORTH MAIN STREET.
CROSS PLAINS TX
76443
US

IV. Provider business mailing address

PO BOX 144
CROSS PLAINS TX
76443-0144
US

V. Phone/Fax

Practice location:
  • Phone: 254-725-6521
  • Fax:
Mailing address:
  • Phone: 254-725-6521
  • Fax: 254-270-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. RAY PURVIS
Title or Position: MAYOR
Credential:
Phone: 254-725-6114