Provider Demographics
NPI:1558460329
Name:CITY OF MCKINNEY
Entity Type:Organization
Organization Name:CITY OF MCKINNEY
Other - Org Name:CITY OF MCKINNEY FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:KISTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-547-2850
Mailing Address - Street 1:P.O. BOX 660074
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0074
Mailing Address - Country:US
Mailing Address - Phone:972-547-2850
Mailing Address - Fax:972-547-2858
Practice Address - Street 1:2200 TAYLOR BURK DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6651
Practice Address - Country:US
Practice Address - Phone:972-547-2850
Practice Address - Fax:972-547-2858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0430053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086294801Medicaid
TX590039354OtherMEDICARE RAILROAD
TX502386Medicare PIN