=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003849795
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF WOLFFORTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2006
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 305 CEDAR AVE
-----------------------------------------------------
City | WOLFFORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79382
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-866-9126
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 36
-----------------------------------------------------
City | WOLFFORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79382-0036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-866-4215
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CITY SECRETARY
-----------------------------------------------------
Name | TERRI D ROBINETTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-855-4159
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 146L00000X
-----------------------------------------------------
Taxonomy Name | Paramedic
-----------------------------------------------------
License Number | 152011
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------