Provider Demographics
NPI:1861495624
Name:CITY OF CLAUDE
Entity Type:Organization
Organization Name:CITY OF CLAUDE
Other - Org Name:CITY OF CLAUDE VOLUNTEER AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLAUDE CITY SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-226-3261
Mailing Address - Street 1:PO BOX 231
Mailing Address - Street 2:115 TRICE STREET
Mailing Address - City:CLAUDE
Mailing Address - State:TX
Mailing Address - Zip Code:79019-0231
Mailing Address - Country:US
Mailing Address - Phone:806-226-3261
Mailing Address - Fax:806-226-7019
Practice Address - Street 1:103 PARKS STREET
Practice Address - Street 2:
Practice Address - City:CLAUDE
Practice Address - State:TX
Practice Address - Zip Code:79019-0231
Practice Address - Country:US
Practice Address - Phone:806-226-3261
Practice Address - Fax:806-226-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006001146L00000X, 341600000X, 3416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
No3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000003601Medicaid
TX102964100OtherAMBULANCE
TXTX0000001OtherAMBULANCE
TX=========OtherAMBULANCE
TX500766Medicare PIN