Provider Demographics
NPI:1992016448
Name:CITY OF SUNDOWN
Entity Type:Organization
Organization Name:CITY OF SUNDOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR/CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:CLINTON
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:806-229-3131
Mailing Address - Street 1:P.O. BOX 600
Mailing Address - Street 2:704 S. SLAUGHTER AVE
Mailing Address - City:SUNDOWN
Mailing Address - State:TX
Mailing Address - Zip Code:79372
Mailing Address - Country:US
Mailing Address - Phone:806-229-2270
Mailing Address - Fax:806-229-2271
Practice Address - Street 1:809 SOUTH SLAUGHTER AVE
Practice Address - Street 2:
Practice Address - City:SUNDOWN
Practice Address - State:TX
Practice Address - Zip Code:79372
Practice Address - Country:US
Practice Address - Phone:806-229-2270
Practice Address - Fax:806-229-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport