1407823396 NPI number — CITY OF HARTINGTON

Table of content: (NPI 1407823396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407823396 NPI number — CITY OF HARTINGTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF HARTINGTON
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:
HARTINGTON AMBULANCE SERVICE
Provider Other Organization Name Type Code:
5
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:
1407823396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
107 W STATE ST
Provider Second Line Business Mailing Address:
PO BOX 427
Provider Business Mailing Address City Name:
HARTINGTON
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-254-6353
Provider Business Mailing Address Fax Number:
402-254-6391

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
107 W STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARTINGTON
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-254-6353
Provider Business Practice Location Address Fax Number:
402-254-6391
Provider Enumeration Date:
03/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LENZEN
Authorized Official First Name:
CRYSTAL
Authorized Official Middle Name:
Authorized Official Title or Position:
CITY CLERK TREASURER
Authorized Official Telephone Number:
402-254-6353

Provider Taxonomy Codes

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

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

  • Identifier: 0005939 . This is a "TRADING PARTNER NUMBER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 091719 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com