Provider Demographics
NPI:1962432930
Name:CITY OF IRVING
Entity type:Organization
Organization Name:CITY OF IRVING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-721-7747
Mailing Address - Street 1:P.O. BOX 843949
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284
Mailing Address - Country:US
Mailing Address - Phone:214-747-1431
Mailing Address - Fax:214-741-1412
Practice Address - Street 1:825 W IRVING BLVD.
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060
Practice Address - Country:US
Practice Address - Phone:972-721-2514
Practice Address - Fax:972-721-4653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
TX0570543416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX590039612OtherMEDICARE RAILROAD
TX086299701Medicaid
TX086299701Medicaid
TX590039612OtherMEDICARE RAILROAD