Healthcare Provider Details

I. General information

NPI: 1497751176
Provider Name (Legal Business Name): CITY OF SPRING VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EMERGECNY DRIVE
SPRING VALLEY MN
55975
US

IV. Provider business mailing address

201 S BROADWAY ST
SPRING VALLEY MN
55975-1301
US

V. Phone/Fax

Practice location:
  • Phone: 507-346-7414
  • Fax: 507-346-7620
Mailing address:
  • Phone: 507-346-7414
  • Fax: 507-346-7620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number238
License Number StateMN

VIII. Authorized Official

Name: DEBBIE LEE ZIMMER
Title or Position: ADMINISTRATOR
Credential:
Phone: 507-346-7367