Provider Demographics
NPI:1528377611
Name:NORTH CENTRAL TRUCK & EQUIPMENT
Entity Type:Organization
Organization Name:NORTH CENTRAL TRUCK & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WARRANTY SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-257-1202
Mailing Address - Street 1:2629 CLEARWATER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-5953
Mailing Address - Country:US
Mailing Address - Phone:320-257-1202
Mailing Address - Fax:320-252-3561
Practice Address - Street 1:2629 CLEARWATER RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5953
Practice Address - Country:US
Practice Address - Phone:320-257-1202
Practice Address - Fax:320-252-3561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization