Healthcare Provider Details

I. General information

NPI: 1013139583
Provider Name (Legal Business Name): CITY OF HIBBING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 BROOKLYN DR
HIBBING MN
55746-1955
US

IV. Provider business mailing address

401 E 21ST ST
HIBBING MN
55746-5510
US

V. Phone/Fax

Practice location:
  • Phone: 218-312-3002
  • Fax: 218-312-3003
Mailing address:
  • Phone: 218-312-1602
  • Fax: 218-403-5706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHEENA MULNER
Title or Position: FINANCE DIRECTOR/TREASURER
Credential:
Phone: 218-312-1602