Provider Demographics
NPI:1699811034
Name:CITY OF THE COLONY
Entity Type:Organization
Organization Name:CITY OF THE COLONY
Other - Org Name:THE COLONY FIRE DEPT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:FIRE CHIEF
Authorized Official - Phone:972-625-3944
Mailing Address - Street 1:4900 BLAIR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2424
Mailing Address - Country:US
Mailing Address - Phone:972-625-3944
Mailing Address - Fax:972-624-2292
Practice Address - Street 1:4900 BLAIR OAKS DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2424
Practice Address - Country:US
Practice Address - Phone:972-625-3944
Practice Address - Fax:972-624-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0610113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX506766Medicare ID - Type UnspecifiedPROVIDER NUMBER