Provider Demographics
NPI:1265808430
Name:CITY OF GEORGETOWN
Entity type:Organization
Organization Name:CITY OF GEORGETOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-930-3611
Mailing Address - Street 1:PO BOX 409
Mailing Address - Street 2:3500 D.B. WOOD RD.
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-0409
Mailing Address - Country:US
Mailing Address - Phone:512-930-6104
Mailing Address - Fax:512-930-3613
Practice Address - Street 1:3500 D B WOOD RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-7222
Practice Address - Country:US
Practice Address - Phone:512-930-6104
Practice Address - Fax:512-930-3613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10009433416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport