1205056744 NPI number — CITY OF BABBITT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205056744 NPI number — CITY OF BABBITT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF BABBITT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205056744
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 E 25TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIBBING
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55746-3897
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-362-6683
Provider Business Mailing Address Fax Number:
218-362-6684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 SOUTH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BABBITT
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55706-1232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-362-6683
Provider Business Practice Location Address Fax Number:
218-362-6684
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARINARO
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
218-362-6683

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 481367700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 69021BA . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 791590627 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com