Provider Demographics
NPI:1114202405
Name:TOWN OF SOUTH PADRE ISLAND
Entity Type:Organization
Organization Name:TOWN OF SOUTH PADRE ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-602-2060
Mailing Address - Street 1:PO BOX 3410
Mailing Address - Street 2:
Mailing Address - City:SOUTH PADRE ISLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78597-3410
Mailing Address - Country:US
Mailing Address - Phone:877-602-2060
Mailing Address - Fax:903-887-1863
Practice Address - Street 1:4601 PADRE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH PADRE ISLAND
Practice Address - State:TX
Practice Address - Zip Code:78597-7325
Practice Address - Country:US
Practice Address - Phone:956-761-3040
Practice Address - Fax:903-887-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport