Provider Demographics
NPI:1386619781
Name:CITY OF PARIS
Entity type:Organization
Organization Name:CITY OF PARIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DYESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-784-9228
Mailing Address - Street 1:150 1ST ST SE
Mailing Address - Street 2:P.O. BOX 9037
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5804
Mailing Address - Country:US
Mailing Address - Phone:903-784-9228
Mailing Address - Fax:903-782-9034
Practice Address - Street 1:1444 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-2652
Practice Address - Country:US
Practice Address - Phone:903-782-9034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1390043416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139004OtherSTATE AMBULANCE LICENSE
TX139004OtherSTATE AMBULANCE LICENSE
OK100820570AMedicaid
TX506826Medicare PIN