CITY OF GROOM; NPI #1558485300

Contact Information

CITY OF GROOM

203 BROADWAY AVE
GROOM, TX 79039

Phone: 806-248-7003
Fax: 806-820-0191
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 GROOM

NPI Number 1558485300

LBN Legal business name CITY OF GROOM

Authorized official TACY LAMB - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/19/2007

Last updated 05/08/2018 - About 8 years ago

Identifiers

TX	License #	033001
TX	Medicaid	189120201

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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