Healthcare Provider Details

I. General information

NPI: 1487780995
Provider Name (Legal Business Name): CITY OF CROSS PLAINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 NW 2ND ST
CROSS PLAINS TX
76443-2532
US

IV. Provider business mailing address

PO BOX 597
CROSS PLAINS TX
76443-0597
US

V. Phone/Fax

Practice location:
  • Phone: 254-725-4350
  • Fax: 254-725-4350
Mailing address:
  • Phone: 254-725-4350
  • Fax: 254-725-4350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number030002
License Number StateTX

VIII. Authorized Official

Name: SUSAN J SCHAEFER
Title or Position: COORDINATOR
Credential:
Phone: 254-725-4350