Provider Demographics
NPI:1053765503
Name:STAMFORD VIP
Entity type:Organization
Organization Name:STAMFORD VIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLUMLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-773-2591
Mailing Address - Street 1:201 E MCHARG ST
Mailing Address - Street 2:P.O. DRAWER 191
Mailing Address - City:STAMFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79553-4208
Mailing Address - Country:US
Mailing Address - Phone:325-773-2591
Mailing Address - Fax:325-773-2145
Practice Address - Street 1:508 E GOULD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:TX
Practice Address - Zip Code:79553-5709
Practice Address - Country:US
Practice Address - Phone:325-773-2337
Practice Address - Fax:325-773-2504
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF STAMFORD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals