Healthcare Provider Details

I. General information

NPI: 1730183369
Provider Name (Legal Business Name): CITY OF NORFOLK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 KOENIGSTEIN AVE
NORFOLK NE
68701-3917
US

IV. Provider business mailing address

309 N 5TH ST
NORFOLK NE
68701-4092
US

V. Phone/Fax

Practice location:
  • Phone: 402-844-2050
  • Fax: 402-644-8748
Mailing address:
  • Phone: 402-844-2000
  • Fax: 402-844-2028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5039
License Number StateNE

VIII. Authorized Official

Name: BETH DECK
Title or Position: CITY CLERK
Credential:
Phone: 402-844-2012