Provider Demographics
NPI:1518085646
Name:CITY OF LANCASTER
Entity Type:Organization
Organization Name:CITY OF LANCASTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:927-218-2600
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-0940
Mailing Address - Country:US
Mailing Address - Phone:972-218-2600
Mailing Address - Fax:972-218-2699
Practice Address - Street 1:1650 N DALLAS AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-3260
Practice Address - Country:US
Practice Address - Phone:972-218-2600
Practice Address - Fax:972-218-2699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0570133416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086459701Medicaid
TX590539339OtherMEDICARE RAILROAD
TX503866Medicare PIN