Provider Demographics
NPI:1972727451
Name:CITY OF YOAKUM
Entity Type:Organization
Organization Name:CITY OF YOAKUM
Other - Org Name:CITY OF YOAKUM AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1361-293-6321
Mailing Address - Street 1:900 IRVINE ST
Mailing Address - Street 2:P O DRAWER 738
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-2928
Mailing Address - Country:US
Mailing Address - Phone:136-229-3632
Mailing Address - Fax:136-129-3318
Practice Address - Street 1:203 NELSON ST
Practice Address - Street 2:P O DRAWER 738
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-2749
Practice Address - Country:US
Practice Address - Phone:361-293-5125
Practice Address - Fax:361-293-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX062001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX503812Medicare ID - Type Unspecified