Organization
CITY OF BEAUMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD SIMONEAUX (CONTROLLER)
(409) 785-4785
Entity
Organization
Contact information
Practice address
801 MAIN ST, SUITE 110, BEAUMONT, TX 77701-3548
(409) 880-3772
(409) 880-3113
Mailing address
PO BOX 3827, ATTN: CASH MANAGEMENT, BEAUMONT, TX 77704-3827
(409) 880-3772
(409) 880-3113
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
123001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000193501
—
TX
01
—
590000931
RAILROAD MEDICARE
TX
Enumeration date
11/04/2005
Last updated
07/07/2010
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