Healthcare Provider Details

I. General information

NPI: 1003830662
Provider Name (Legal Business Name): CITY OF KRUM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N 1ST ST
KRUM TX
76249-9579
US

IV. Provider business mailing address

PO BOX 610165
DALLAS TX
75261-0165
US

V. Phone/Fax

Practice location:
  • Phone: 940-390-1777
  • Fax: 800-353-2196
Mailing address:
  • Phone: 940-390-1777
  • Fax: 800-353-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number61267
License Number StateTX

VIII. Authorized Official

Name: ADAM NORTH
Title or Position: FIRE CHIEF
Credential:
Phone: 940-390-1777