Healthcare Provider Details

I. General information

NPI: 1407823396
Provider Name (Legal Business Name): CITY OF HARTINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W STATE ST
HARTINGTON NE
68739
US

IV. Provider business mailing address

107 W STATE ST PO BOX 427
HARTINGTON NE
68739
US

V. Phone/Fax

Practice location:
  • Phone: 402-254-6353
  • Fax: 402-254-6391
Mailing address:
  • Phone: 402-254-6353
  • Fax: 402-254-6391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CRYSTAL LENZEN
Title or Position: CITY CLERK TREASURER
Credential:
Phone: 402-254-6353