Provider Demographics
NPI:1366509556
Name:CITY OF CROWLEY
Entity Type:Organization
Organization Name:CITY OF CROWLEY
Other - Org Name:CROWLEY VOL. FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PLEASANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-297-1638
Mailing Address - Street 1:201 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-2649
Mailing Address - Country:US
Mailing Address - Phone:817-297-2201
Mailing Address - Fax:817-297-6178
Practice Address - Street 1:201 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-2649
Practice Address - Country:US
Practice Address - Phone:817-297-2201
Practice Address - Fax:817-297-6178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2200423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0002008-01Medicaid
1366509556OtherNPI
508000Medicare UPIN