Provider Demographics
NPI:1245378975
Name:TOWN OF SUNNYVALE TEXAS
Entity Type:Organization
Organization Name:TOWN OF SUNNYVALE TEXAS
Other - Org Name:SUNNYVALE FIRE AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MCS DIRECTOR OF BILLING OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:NENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-340-2650
Mailing Address - Street 1:PO BOX 495548
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75049-5548
Mailing Address - Country:US
Mailing Address - Phone:214-340-2650
Mailing Address - Fax:214-503-7135
Practice Address - Street 1:127 N COLLINS RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9516
Practice Address - Country:US
Practice Address - Phone:214-340-2650
Practice Address - Fax:214-503-7135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0570953416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX504583OtherBLUE CROSS BLUE SHIELD
TXP00000225OtherRAILROAD MEDICARE
TX157078001Medicaid
TX157078001Medicaid