MEDICARE: CITY OF GALENA PARK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance		TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590010000	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023086584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF GALENA PARK

Provider Business Mailing Address
First Line	:	PO BOX 691363
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77269-1363
Country	:	US
Telephone Number	:	281-397-0397
Fax Number	:	281-397-0007

Provider Business Practice Location Address
First Line	:	1713 2ND STREET
Second Line	:
City	:	GALENA PARK
State	:	TX
Zip	:	77547
Country	:	US
Telephone Number	:	713-674-5311
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	KATHY KIRKPATRICK
Credential	:
Telephone Number	:	713-674-5311

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	09/17/2024

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Directions to “CITY OF GALENA PARK ” Practice Location

Language	Start Address	Practice Location

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