Provider Demographics
NPI:1174683080
Name:CITY OF PLAINS
Entity Type:Organization
Organization Name:CITY OF PLAINS
Other - Org Name:PLAINS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:EMTP
Authorized Official - Phone:806-487-6730
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:TX
Mailing Address - Zip Code:79355-0550
Mailing Address - Country:US
Mailing Address - Phone:806-487-6730
Mailing Address - Fax:806-487-6714
Practice Address - Street 1:1015 AVE F
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:TX
Practice Address - Zip Code:79355-0550
Practice Address - Country:US
Practice Address - Phone:806-487-6730
Practice Address - Fax:806-487-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2510043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086300301Medicaid
TX102927100OtherFIRSTCARE ID#
TX502490Medicare ID - Type Unspecified