Provider Demographics
NPI:1164591426
Name:CITY OF HOBART
Entity Type:Organization
Organization Name:CITY OF HOBART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LONGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-942-1940
Mailing Address - Street 1:414 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-4444
Mailing Address - Country:US
Mailing Address - Phone:219-942-1940
Mailing Address - Fax:219-942-0505
Practice Address - Street 1:414 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-4444
Practice Address - Country:US
Practice Address - Phone:219-942-1940
Practice Address - Fax:219-942-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0263341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000202108OtherANTHEM
IN=========000OtherCARESOURCE
IN=========000OtherCARESOURCE