Provider Demographics
NPI:1629136304
Name:CITY OF NEW HARTFORD
Entity Type:Organization
Organization Name:CITY OF NEW HARTFORD
Other - Org Name:CITY OF NEW HARTFORD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-983-2548
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:IA
Mailing Address - Zip Code:50660-0212
Mailing Address - Country:US
Mailing Address - Phone:319-983-2548
Mailing Address - Fax:717-635-6176
Practice Address - Street 1:308 PACKWAUKEE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:IA
Practice Address - Zip Code:50660-7725
Practice Address - Country:US
Practice Address - Phone:319-983-2548
Practice Address - Fax:717-635-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21204003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0006007Medicaid
IA0006007Medicaid