=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750407169
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF HOUSTON
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2007
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 W MAPLE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-895-3234
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 W MAPLE ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55943-8660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-896-4033
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FINANCE/TREASURER
-----------------------------------------------------
Name | SUZANNE PETERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 507-896-4033
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 0110
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------