Healthcare Provider Details

I. General information

NPI: 1861537482
Provider Name (Legal Business Name): CITY OF IVANHOE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NORTH HAROLD STREET
IVANHOE MN
56142-0054
US

IV. Provider business mailing address

401 N HAROLD ST
IVANHOE MN
56142-9599
US

V. Phone/Fax

Practice location:
  • Phone: 507-694-1738
  • Fax: 507-694-1278
Mailing address:
  • Phone: 507-694-1738
  • Fax: 507-694-1278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0116
License Number StateMN

VIII. Authorized Official

Name: DIANNE BECKENDORF
Title or Position: CITY ADMINISTRATOR
Credential:
Phone: 507-530-0825