Provider Demographics
NPI:1780788463
Name:CITY OF HIALEAH
Entity type:Organization
Organization Name:CITY OF HIALEAH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-6909
Mailing Address - Street 1:PO BOX 918660
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8660
Mailing Address - Country:US
Mailing Address - Phone:305-883-6900
Mailing Address - Fax:305-883-6980
Practice Address - Street 1:83 E 5TH STREET
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4834
Practice Address - Country:US
Practice Address - Phone:305-883-6900
Practice Address - Fax:305-883-6980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL400007200Medicaid
P00215460OtherRAILROAD MEDICARE
P00215460OtherRAILROAD MEDICARE