1790907251 NPI number — CITY OF NASHWAUK

Table of content: (NPI 1790907251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790907251 NPI number — CITY OF NASHWAUK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF NASHWAUK
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:
1790907251
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:
218-312-3002
Provider Business Mailing Address Fax Number:
218-312-3003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHWAUK
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55769-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-312-3002
Provider Business Practice Location Address Fax Number:
218-312-3003
Provider Enumeration Date:
05/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CALIGURE
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
218-312-3002

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: 590014445 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 120025 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 053435800 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 72503NA . This is a "BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com