Provider Demographics
NPI:1912089806
Name:CITY HEALTH CARE INC
Entity Type:Organization
Organization Name:CITY HEALTH CARE INC
Other - Org Name:CITY HEALTH CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-884-9419
Mailing Address - Street 1:6201 BONHOMME RD
Mailing Address - Street 2:312N
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4365
Mailing Address - Country:US
Mailing Address - Phone:713-884-9419
Mailing Address - Fax:713-669-1091
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:312N
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:713-884-9419
Practice Address - Fax:713-669-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800184341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183987001Medicaid
TXAMB544Medicare PIN