Provider Demographics
NPI:1932309606
Name:CITY OF MARFA
Entity Type:Organization
Organization Name:CITY OF MARFA
Other - Org Name:MARFA CITY-COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LARGARDE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:432-729-3151
Mailing Address - Street 1:113 S HIGHLAND AVE
Mailing Address - Street 2:PO BOX 787
Mailing Address - City:MARFA
Mailing Address - State:TX
Mailing Address - Zip Code:79843
Mailing Address - Country:US
Mailing Address - Phone:432-729-3151
Mailing Address - Fax:432-729-3158
Practice Address - Street 1:113 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MARFA
Practice Address - State:TX
Practice Address - Zip Code:79843
Practice Address - Country:US
Practice Address - Phone:432-729-3151
Practice Address - Fax:432-729-3158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1932309606Medicaid
TX590549305OtherRAILROAD MEDICARE
TX1932309606OtherBCBS TEXAS