Provider Demographics
NPI:1053303552
Name:CITY OF NEW RICHLAND
Entity Type:Organization
Organization Name:CITY OF NEW RICHLAND
Other - Org Name:NEW RICHLAND AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLERK-TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-465-3514
Mailing Address - Street 1:203 BROADWAY AVE N
Mailing Address - Street 2:PO BOX 57
Mailing Address - City:NEW RICHLAND
Mailing Address - State:MN
Mailing Address - Zip Code:56072-2021
Mailing Address - Country:US
Mailing Address - Phone:507-465-3514
Mailing Address - Fax:507-465-3375
Practice Address - Street 1:203 BROADWAY AVE N
Practice Address - Street 2:
Practice Address - City:NEW RICHLAND
Practice Address - State:MN
Practice Address - Zip Code:56072-2021
Practice Address - Country:US
Practice Address - Phone:507-465-3514
Practice Address - Fax:507-465-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0175341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance