Provider Demographics
NPI:1154452431
Name:CITY OF WILLS POINT
Entity Type:Organization
Organization Name:CITY OF WILLS POINT
Other - Org Name:CITY OF WILLS POINT EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:OLDACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-873-2578
Mailing Address - Street 1:PO BOX 700847
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-0847
Mailing Address - Country:US
Mailing Address - Phone:972-250-2023
Mailing Address - Fax:972-250-2086
Practice Address - Street 1:120 N 5TH STREET
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169
Practice Address - Country:US
Practice Address - Phone:903-873-2578
Practice Address - Fax:903-873-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234018341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX506924OtherBCBS
TX506924OtherBCBS
TX506924Medicare ID - Type Unspecified