Healthcare Provider Details

I. General information

NPI: 1134166077
Provider Name (Legal Business Name): CITY OF RUSHFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MILL ST
RUSHFORD MN
55971-9195
US

IV. Provider business mailing address

101 N MILL ST PO BOX 430
RUSHFORD MN
55971-9195
US

V. Phone/Fax

Practice location:
  • Phone: 507-864-2444
  • Fax: 507-864-7003
Mailing address:
  • Phone: 507-864-2444
  • Fax: 507-864-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. KATHY A ZACHER
Title or Position: CITY CLERK/TREAS.
Credential:
Phone: 507-864-2444