MEDICARE: CITY OF FINLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	037	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	037	OTHER	ND	ND STATE LISC NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023201878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF FINLEY

Provider Business Mailing Address
First Line	:	PO BOX 321
Second Line	:	208 4TH ST
City	:	FINLEY
State	:	ND
Zip	:	58230-0321
Country	:	US
Telephone Number	:	701-524-1561
Fax Number	:	701-524-1562

Provider Business Practice Location Address
First Line	:	202 CENTRAL AVE
Second Line	:
City	:	FINLEY
State	:	ND
Zip	:	58230-0321
Country	:	US
Telephone Number	:	701-524-1561
Fax Number	:	701-524-1562

Authorized Official
Title or Position	:	CITY AUDITOR
Name	:	MR. TYRONE J HAUGE
Credential	:
Telephone Number	:	701-524-1561

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	01/16/2008

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Directions to “CITY OF FINLEY ” Practice Location

Language	Start Address	Practice Location

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