Provider Demographics
NPI:1023201878
Name:CITY OF FINLEY
Entity Type:Organization
Organization Name:CITY OF FINLEY
Other - Org Name:FINLEY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY AUDITOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAUGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-524-1561
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:208 4TH ST
Mailing Address - City:FINLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58230-0321
Mailing Address - Country:US
Mailing Address - Phone:701-524-1561
Mailing Address - Fax:701-524-1562
Practice Address - Street 1:202 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FINLEY
Practice Address - State:ND
Practice Address - Zip Code:58230-0321
Practice Address - Country:US
Practice Address - Phone:701-524-1561
Practice Address - Fax:701-524-1562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND037341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND037OtherND STATE LISC NUMBER
ND51582Medicaid
ND037OtherND STATE LISC NUMBER