Provider Demographics
NPI:1871623470
Name:CITY OF LEWISVILLE
Entity type:Organization
Organization Name:CITY OF LEWISVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-219-3558
Mailing Address - Street 1:PO BOX 299002
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75029-9002
Mailing Address - Country:US
Mailing Address - Phone:972-219-3580
Mailing Address - Fax:
Practice Address - Street 1:500 W ROUND GROVE RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8309
Practice Address - Country:US
Practice Address - Phone:972-219-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX061005341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086452201OtherCOOKS CHILDREN HEALTH INS
TX086452201Medicaid
TX503829OtherHORIZON MEDICARE
TX503829OtherBLUE CROSS TEXAS
TX503829OtherBLUE CROSS FEDERAL TEXAS
TX086452201OtherPARKLAND COMMUNITY HEALTH
TX086452201OtherAMERICAID
TX238341700OtherTWCC
TX503829OtherHMO BLUE
TX590039900OtherRAILROAD MEDICARE
TX086452201OtherHMO BLUE STAR MEDICAID
TX086452202OtherCSHCN
TX086452201OtherTEXAS HEALTH NETWORK
TX086452201OtherMEDICAID AETNS STAR
PA503829OtherSTERLING OPTION I PA
TX086452201OtherMEDICAID AETNS STAR