Provider Demographics
NPI:1871654111
Name:CITY OF LUFKIN
Entity Type:Organization
Organization Name:CITY OF LUFKIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-633-0421
Mailing Address - Street 1:111 S THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-3043
Mailing Address - Country:US
Mailing Address - Phone:936-633-0376
Mailing Address - Fax:936-633-0368
Practice Address - Street 1:111 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-3043
Practice Address - Country:US
Practice Address - Phone:936-633-0376
Practice Address - Fax:936-633-0368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0030013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109544002Medicaid
TX510280Medicare ID - Type UnspecifiedPROVIDER NUMBER