Provider Demographics
NPI:1043610249
Name:CITY OF DEL RIO
Entity Type:Organization
Organization Name:CITY OF DEL RIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-703-5324
Mailing Address - Street 1:109 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5502
Mailing Address - Country:US
Mailing Address - Phone:830-703-5324
Mailing Address - Fax:830-774-8697
Practice Address - Street 1:100 W OGDEN ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-5578
Practice Address - Country:US
Practice Address - Phone:830-703-5324
Practice Address - Fax:830-774-8697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)