Provider Demographics
NPI:1902368871
Name:CITY OF MERCEDES
Entity Type:Organization
Organization Name:CITY OF MERCEDES
Other - Org Name:CITY OF MERCEDES FIRE DEPARTMENT EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR OF RECORD
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-493-7600
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-0837
Mailing Address - Country:US
Mailing Address - Phone:956-493-7600
Mailing Address - Fax:
Practice Address - Street 1:105 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2724
Practice Address - Country:US
Practice Address - Phone:956-493-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance