CITY OF EDEN; NPI #1134252570

Contact Information

CITY OF EDEN

102 GORDON ST.
EDEN, TX 76837

Phone: 325-869-5507
Fax: 325-869-5006
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF EDEN

NPI Number 1134252570

LBN Legal business name CITY OF EDEN

Authorized official RICKY THOMAS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2007

Last updated 10/21/2008 - About 18 years ago

Identifiers

TX	License #	048002
TX	Medicaid	1134252570
TX	Other	048002	TEXAS DSHS EMS NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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