Provider Demographics
NPI:1245561901
Name:CITY OF HUGHES OFFICE OF CITY CLERK
Entity Type:Organization
Organization Name:CITY OF HUGHES OFFICE OF CITY CLERK
Other - Org Name:HUGHES FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PRESTAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-339-3166
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:HUGHES
Mailing Address - State:AR
Mailing Address - Zip Code:72348-0485
Mailing Address - Country:US
Mailing Address - Phone:870-339-2332
Mailing Address - Fax:870-339-3155
Practice Address - Street 1:206 BLACKWOOD
Practice Address - Street 2:
Practice Address - City:HUGHES
Practice Address - State:AR
Practice Address - Zip Code:72348
Practice Address - Country:US
Practice Address - Phone:870-339-2332
Practice Address - Fax:870-339-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR186090715Medicaid
AR186090715Medicaid