Healthcare Provider Details

I. General information

NPI: 1790875813
Provider Name (Legal Business Name): CITY OF MINDEN - OFFICE OF COMPTROLLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N COLORADO AVE
MINDEN NE
68959-1686
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-4019
  • Fax: 402-991-0719
Mailing address:
  • Phone: 877-218-4392
  • Fax: 877-343-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1193
License Number StateNE

VIII. Authorized Official

Name: MS. ABBEY JORDAN
Title or Position: ASSISTANT
Credential:
Phone: 308-832-1820