Provider Demographics
NPI:1043395304
Name:CITY OF KINGSVILLE
Entity Type:Organization
Organization Name:CITY OF KINGSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-595-8009
Mailing Address - Street 1:PO BOX 1458
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78364-1458
Mailing Address - Country:US
Mailing Address - Phone:361-595-8009
Mailing Address - Fax:361-595-8035
Practice Address - Street 1:119 N 10TH ST
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-4622
Practice Address - Country:US
Practice Address - Phone:361-592-6445
Practice Address - Fax:361-595-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX137001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10011752OtherAMERIGROUP
TX590482041OtherRAILROAD MEDICARE
TX086178301Medicaid
TX10011752OtherAMERIGROUP