Provider Demographics
NPI:1538134358
Name:CITY OF PLANT CITY CITY MANAGER
Entity Type:Organization
Organization Name:CITY OF PLANT CITY CITY MANAGER
Other - Org Name:PLANT CITY FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-659-4215
Mailing Address - Street 1:604 E ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-7125
Mailing Address - Country:US
Mailing Address - Phone:813-757-9131
Mailing Address - Fax:813-757-9133
Practice Address - Street 1:604 E ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7125
Practice Address - Country:US
Practice Address - Phone:813-757-9131
Practice Address - Fax:813-757-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2921341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400087100Medicaid
FLA0740OtherBCBS POVIDER #
FL400087100Medicaid