Provider Demographics
NPI:1184881658
Name:CITY OF AMHERST
Entity type:Organization
Organization Name:CITY OF AMHERST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:MILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-246-3226
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:TX
Mailing Address - Zip Code:79312-0058
Mailing Address - Country:US
Mailing Address - Phone:806-246-3226
Mailing Address - Fax:
Practice Address - Street 1:1009 MAIN STREET
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:TX
Practice Address - Zip Code:79312
Practice Address - Country:US
Practice Address - Phone:806-246-3226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1400083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000161201Medicaid
TX000161201Medicaid