Healthcare Provider Details

I. General information

NPI: 1568582278
Provider Name (Legal Business Name): CITY OF DENVER CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N AVENUE B
DENVER CITY TX
79323-3119
US

IV. Provider business mailing address

PO BOX 1539
DENVER CITY TX
79323-1539
US

V. Phone/Fax

Practice location:
  • Phone: 806-592-3600
  • Fax: 806-592-8266
Mailing address:
  • Phone: 806-592-3600
  • Fax: 806-592-8266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN TOVAR
Title or Position: D C E M S DIRECTOR LICENSED EMT-P
Credential:
Phone: 806-592-3600