Provider Demographics
NPI:1306851829
Name:CITY OF DUNCANVILLE
Entity Type:Organization
Organization Name:CITY OF DUNCANVILLE
Other - Org Name:DUNCANVILLE FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROHDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-780-4926
Mailing Address - Street 1:PO BOX 204114
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-4114
Mailing Address - Country:US
Mailing Address - Phone:866-631-3116
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:1530 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4002
Practice Address - Country:US
Practice Address - Phone:972-780-4920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX057018341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086377101Medicaid
TX590039765OtherMEDICARE RAILROAD
TX503309Medicare PIN