Healthcare Provider Details

I. General information

NPI: 1730249020
Provider Name (Legal Business Name): CITY OF PLAINVIEW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 W BROADWAY
PLAINVIEW MN
55964-1253
US

IV. Provider business mailing address

241 W BROADWAY
PLAINVIEW MN
55964-1253
US

V. Phone/Fax

Practice location:
  • Phone: 218-233-5658
  • Fax: 218-233-7630
Mailing address:
  • Phone: 218-233-5658
  • Fax: 218-233-7630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0198
License Number StateMN

VIII. Authorized Official

Name: SUSAN COOK
Title or Position: AMBULANCE DIRECTOR
Credential:
Phone: 507-534-3980