Healthcare Provider Details

I. General information

NPI: 1790907251
Provider Name (Legal Business Name): CITY OF NASHWAUK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CENTRAL AVE
NASHWAUK MN
55769-1131
US

IV. Provider business mailing address

1200 E 25TH ST
HIBBING MN
55746-3897
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN CALIGURE
Title or Position: MANAGER
Credential:
Phone: 218-312-3002