Provider Demographics
NPI:1568565786
Name:CITY OF MINNEAPOLIS
Entity Type:Organization
Organization Name:CITY OF MINNEAPOLIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-392-3062
Mailing Address - Street 1:218 N ROCK ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-2427
Mailing Address - Country:US
Mailing Address - Phone:785-392-2176
Mailing Address - Fax:785-392-2177
Practice Address - Street 1:218 N ROCK ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-2427
Practice Address - Country:US
Practice Address - Phone:785-392-2176
Practice Address - Fax:785-392-2177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS006894341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100091920AMedicaid
KS=========OtherCOMMERCIAL INSURANCE NUMB
KS100091920AMedicaid