Healthcare Provider Details

I. General information

NPI: 1770589657
Provider Name (Legal Business Name): CITY OF HECTOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 HWY 212
HECTOR MN
55342
US

IV. Provider business mailing address

PO BOX 457
HECTOR MN
55342
US

V. Phone/Fax

Practice location:
  • Phone: 320-848-2122
  • Fax: 320-848-6582
Mailing address:
  • Phone: 320-848-2122
  • Fax: 320-848-6582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0103
License Number StateMN

VIII. Authorized Official

Name: AMY KLAWITTER
Title or Position: CITY CLERK
Credential:
Phone: 320-848-2122