Provider Demographics
NPI:1043311434
Name:CITY OF BAYTOWN
Entity Type:Organization
Organization Name:CITY OF BAYTOWN
Other - Org Name:BAYTOWN FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DALBEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-420-5381
Mailing Address - Street 1:201 E WYE DR.
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-0424
Mailing Address - Country:US
Mailing Address - Phone:281-422-0044
Mailing Address - Fax:281-420-5844
Practice Address - Street 1:201 E WYE DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-0424
Practice Address - Country:US
Practice Address - Phone:281-422-0044
Practice Address - Fax:281-420-5844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF BAYTOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101105341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1043311434Medicaid
TX101105OtherDSHS
TX590004939OtherRAILROAD MEDICARE