Provider Demographics
NPI:1003830662
Name:CITY OF KRUM
Entity type:Organization
Organization Name:CITY OF KRUM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-390-1777
Mailing Address - Street 1:PO BOX 610165
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75261-0165
Mailing Address - Country:US
Mailing Address - Phone:940-390-1777
Mailing Address - Fax:800-353-2196
Practice Address - Street 1:400 N 1ST ST
Practice Address - Street 2:
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249-9579
Practice Address - Country:US
Practice Address - Phone:940-390-1777
Practice Address - Fax:800-353-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX612673416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1003830662Medicaid
TX061267OtherDSHS
TXAMB738OtherBC BS