Provider Demographics
NPI:1942206263
Name:CITY OF LITTLEFIELD
Entity Type:Organization
Organization Name:CITY OF LITTLEFIELD
Other - Org Name:CITY OF LITTLEFIELD EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-385-6694
Mailing Address - Street 1:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-1267
Mailing Address - Country:US
Mailing Address - Phone:806-385-6694
Mailing Address - Fax:806-385-6699
Practice Address - Street 1:311 E 8TH ST
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3820
Practice Address - Country:US
Practice Address - Phone:806-385-6694
Practice Address - Fax:806-385-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140012146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000019201Medicaid
TX104441100OtherFIRSTCRE
TX104441100OtherFIRSTCRE