Provider Demographics
NPI:1427303973
Name:CITY OF AMARILLO
Entity type:Organization
Organization Name:CITY OF AMARILLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:806-378-6320
Mailing Address - Street 1:PO BOX 1971
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79105-1971
Mailing Address - Country:US
Mailing Address - Phone:806-378-6320
Mailing Address - Fax:806-378-6307
Practice Address - Street 1:850 MARTIN RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-6814
Practice Address - Country:US
Practice Address - Phone:806-378-6320
Practice Address - Fax:806-378-6307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center