Healthcare Provider Details

I. General information

NPI: 1104915156
Provider Name (Legal Business Name): CITY OF BROWERVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 MAIN STREET
BROWERVILLE MN
56438
US

IV. Provider business mailing address

544 MAIN STREET PO 247
BROWERVILLE MN
56438
US

V. Phone/Fax

Practice location:
  • Phone: 320-594-2201
  • Fax: 320-594-2233
Mailing address:
  • Phone: 320-594-2201
  • Fax: 320-594-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number341600000X
License Number StateMN

VIII. Authorized Official

Name: BOBBI FREIE
Title or Position: CITY ADMINISTRATOR
Credential:
Phone: 320-594-2201