Provider Demographics
NPI:1457366304
Name:CITY OF CORINTH
Entity type:Organization
Organization Name:CITY OF CORINTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-279-4590
Mailing Address - Street 1:3501 FM 2181
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2634
Mailing Address - Country:US
Mailing Address - Phone:940-279-4590
Mailing Address - Fax:940-279-4599
Practice Address - Street 1:3501 FM 2181
Practice Address - Street 2:SUITE B
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2634
Practice Address - Country:US
Practice Address - Phone:940-279-4590
Practice Address - Fax:940-279-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001343416L0300X
TX3002653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB556OtherBC/BS OF TEXAS
TXAMB108Medicare UPIN
TXAMB108Medicare PIN