Provider Demographics
NPI:1043428949
Name:CITY OF ALLEN
Entity Type:Organization
Organization Name:CITY OF ALLEN
Other - Org Name:CITY OF ALLEN FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-509-4400
Mailing Address - Street 1:310 CENTURY PKWY
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8048
Mailing Address - Country:US
Mailing Address - Phone:214-509-4400
Mailing Address - Fax:214-509-4410
Practice Address - Street 1:310 CENTURY PKWY
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8048
Practice Address - Country:US
Practice Address - Phone:214-509-4400
Practice Address - Fax:214-509-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX430113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000506659OtherBCBS OF TEXAS
TX590006952Medicaid
TX506659Medicare PIN
TX590006952Medicare PIN