Provider Demographics
NPI:1043211469
Name:CITY OF MORGAN
Entity Type:Organization
Organization Name:CITY OF MORGAN
Other - Org Name:MORGAN FIRE DEPT AND AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY CLERK-TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KLEINSCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-249-3455
Mailing Address - Street 1:119 VERNON AVENUE
Mailing Address - Street 2:PO BOX 27
Mailing Address - City:MORGAN
Mailing Address - State:MN
Mailing Address - Zip Code:56266-0027
Mailing Address - Country:US
Mailing Address - Phone:507-249-3455
Mailing Address - Fax:507-249-3839
Practice Address - Street 1:119 VERNON AVENUE
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:MN
Practice Address - Zip Code:56266-0027
Practice Address - Country:US
Practice Address - Phone:507-249-3455
Practice Address - Fax:507-249-3839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0169341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47186MOOtherBLUECROSS BLUESHEILD
MN810867600Medicaid
MN47186MOOtherBLUECROSS BLUESHEILD