Healthcare Provider Details

I. General information

NPI: 1932269750
Provider Name (Legal Business Name): CITY OF BARNESVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 2ND AVE NW
BARNESVILLE MN
56514
US

IV. Provider business mailing address

PO BOX 550
BARNESVILLE MN
56514-0550
US

V. Phone/Fax

Practice location:
  • Phone: 218-354-2299
  • Fax: 218-354-2472
Mailing address:
  • Phone: 218-354-2292
  • Fax: 218-354-2472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0019
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1830
License Number StateMN

VIII. Authorized Official

Name: FREDERICK DAHNKE
Title or Position: MAYOR
Credential:
Phone: 218-354-2292