Provider Demographics
NPI:1629169982
Name:CITY OF FULDA
Entity Type:Organization
Organization Name:CITY OF FULDA
Other - Org Name:FULDA COMMUNITY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAUMHOEFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-425-2504
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:FULDA
Mailing Address - State:MN
Mailing Address - Zip Code:56131-0372
Mailing Address - Country:US
Mailing Address - Phone:507-425-2504
Mailing Address - Fax:507-425-2393
Practice Address - Street 1:305 FRONT ST.
Practice Address - Street 2:
Practice Address - City:FULDA
Practice Address - State:MN
Practice Address - Zip Code:56131-0372
Practice Address - Country:US
Practice Address - Phone:507-425-2504
Practice Address - Fax:507-425-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport