Provider Demographics
NPI:1922146034
Name:CITY OF CEDAR HILL
Entity Type:Organization
Organization Name:CITY OF CEDAR HILL
Other - Org Name:CEDAR HILL FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-5100
Mailing Address - Street 1:PO BOX 3689
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-3310
Mailing Address - Country:US
Mailing Address - Phone:866-631-4452
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:1212 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1605
Practice Address - Country:US
Practice Address - Phone:972-291-1011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX570103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX514799OtherBLUE CROSS BLUE SHIELD
TX000413701Medicaid
TX590014341OtherRAILROAD MEDICARE
TX514799Medicare PIN