Healthcare Provider Details

I. General information

NPI: 1114186988
Provider Name (Legal Business Name): CITY OF HOFFMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 MAIN AVE
HOFFMAN MN
56339-0227
US

IV. Provider business mailing address

PO BOX 227 127 MAIN AVE
HOFFMAN MN
56339-0227
US

V. Phone/Fax

Practice location:
  • Phone: 320-986-2448
  • Fax: 320-986-6634
Mailing address:
  • Phone: 320-986-2448
  • Fax: 320-986-6634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DENNIS SATRE
Title or Position: MAYOR
Credential:
Phone: 320-986-2448