=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023201878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF FINLEY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2007
-----------------------------------------------------
Last Update Date | 01/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 202 CENTRAL AVE
-----------------------------------------------------
City | FINLEY
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58230-0321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-524-1561
-----------------------------------------------------
Fax | 701-524-1562
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 321 208 4TH ST
-----------------------------------------------------
City | FINLEY
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58230-0321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-524-1561
-----------------------------------------------------
Fax | 701-524-1562
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CITY AUDITOR
-----------------------------------------------------
Name | MR. TYRONE J HAUGE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 701-524-1561
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 037
-----------------------------------------------------
License Number State | ND
-----------------------------------------------------