Provider Demographics
NPI:1275548182
Name:CITY OF DENTON
Entity Type:Organization
Organization Name:CITY OF DENTON
Other - Org Name:DENTON FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE ADMINISTRATOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-349-8844
Mailing Address - Street 1:PO BOX 207905
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7905
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:332 E. HICKORY STREET
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4272
Practice Address - Country:US
Practice Address - Phone:940-349-8840
Practice Address - Fax:940-349-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000083801Medicaid
TX505782OtherBC/BS OF TEXAS
TX826590333Medicare PIN
TX505782Medicare PIN