Provider Demographics
NPI:1326004862
Name:CITY OF HILLSBORO
Entity Type:Organization
Organization Name:CITY OF HILLSBORO
Other - Org Name:CITY OF HILLSBORO DEPARTMENT OF PUBLIC SAFETY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-582-2401
Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-0568
Mailing Address - Country:US
Mailing Address - Phone:254-582-2401
Mailing Address - Fax:254-582-9155
Practice Address - Street 1:110 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2019
Practice Address - Country:US
Practice Address - Phone:254-582-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3000383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX59008718Medicaid
TX517690Medicare PIN