Healthcare Provider Details

I. General information

NPI: 1053303552
Provider Name (Legal Business Name): CITY OF NEW RICHLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 BROADWAY AVE N
NEW RICHLAND MN
56072-2021
US

IV. Provider business mailing address

203 BROADWAY AVE N PO BOX 57
NEW RICHLAND MN
56072-2021
US

V. Phone/Fax

Practice location:
  • Phone: 507-465-3514
  • Fax: 507-465-3375
Mailing address:
  • Phone: 507-465-3514
  • Fax: 507-465-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0175
License Number StateMN

VIII. Authorized Official

Name: MR. ANTHONY MARTENS
Title or Position: CITY ADMINISTRATOR
Credential:
Phone: 507-465-3514