Organization
CITY OF CLEVELAND
Active
Other names
City of Cleveland EMS
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN P LAAKE (BILLING AGENT)
(281) 397-0397
Entity
Organization
Contact information
Practice address
207 E BOOTHE, CLEVELAND, TX 77327
(281) 592-8044
(281) 659-0448
Mailing address
PO BOX 691363, HOUSTON, TX 77269-1363
(281) 397-0397
(281) 397-6934
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
146010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088229201
—
TX
01
—
590005675
RAILROAD MEDICARE
TX
Enumeration date
03/06/2007
Last updated
02/21/2014
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