Provider Demographics
NPI:1619083227
Name:CITY OF SEMINOLE
Entity Type:Organization
Organization Name:CITY OF SEMINOLE
Other - Org Name:SEMINOLE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:806-487-6730
Mailing Address - Street 1:302 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-4346
Mailing Address - Country:US
Mailing Address - Phone:432-758-8816
Mailing Address - Fax:432-758-6533
Practice Address - Street 1:401 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360
Practice Address - Country:US
Practice Address - Phone:806-487-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0830013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086410001Medicaid
TX610132400OtherUS DEPARTMENT OF LABOR
TX086410001Medicaid