MEDICARE: CITY OF FREEPORT

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
1	590014582	OTHER		RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1225006786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF FREEPORT

Provider Business Mailing Address
First Line	:	131 E 4TH ST
Second Line	:
City	:	FREEPORT
State	:	TX
Zip	:	77541-5909
Country	:	US
Telephone Number	:	979-233-2111
Fax Number	:	979-233-4103

Provider Business Practice Location Address
First Line	:	131 E 4TH ST
Second Line	:
City	:	FREEPORT
State	:	TX
Zip	:	77541-5909
Country	:	US
Telephone Number	:	979-233-2111
Fax Number	:	979-233-4103

Authorized Official
Title or Position	:	CHIEF
Name	:	CHRISTOPHER MOTLEY
Credential	:
Telephone Number	:	979-233-2111

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	09/16/2024

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Directions to “CITY OF FREEPORT ” Practice Location

Language	Start Address	Practice Location

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