# CITY OF MATHIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356456586
- **Authorized official:** MRS. MARY T GENTILE (AUTHORIZED AGENT)
- **Authorized official phone:** (860) 257-7080

## Contact information

- **Practice address:** 411 E SAN PATRICIO AVE, MATHIS, TX 78368-2351
- **Practice address phone:** (361) 547-3995
- **Practice address fax:** (361) 547-4214
- **Mailing address:** PO BOX 290184, WETHERSFIELD, CT 06129-0184
- **Mailing address phone:** (860) 257-7080
- **Mailing address fax:** (860) 563-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 205011 | TX | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 09/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000502701 | — | TX |
| 01 | — | 590007414 | RAILROAD | TX |