Provider Demographics
NPI:1568582278
Name:CITY OF DENVER CITY
Entity Type:Organization
Organization Name:CITY OF DENVER CITY
Other - Org Name:DENVER CITY EMERGENCY MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:D C E M S DIRECTOR LICENSED EMT-P
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-592-3600
Mailing Address - Street 1:PO BOX 1539
Mailing Address - Street 2:
Mailing Address - City:DENVER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79323-1539
Mailing Address - Country:US
Mailing Address - Phone:806-592-3600
Mailing Address - Fax:806-592-8266
Practice Address - Street 1:306 N AVENUE B
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-3119
Practice Address - Country:US
Practice Address - Phone:806-592-3600
Practice Address - Fax:806-592-8266
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF DENVER CITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-29
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086330001Medicaid
TX086330001Medicaid