| Organization Name: | CITY OF CLUTE |
| NPI Number: | 1760589493 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ANTHONY WAGUESPACK (EMT DIRECTOR) |
| Mailing Address: | 701 Wesley Dr Clute |
| State: | TX US |
| Postal Code: | 775313734 |
| Phone Number: | 9792659653 |
| Fax Number: | 9792652947 |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 20006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |