Provider Demographics
NPI:1912191321
Name:CITY OF VALPARAISO
Entity Type:Organization
Organization Name:CITY OF VALPARAISO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERSONSWIHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-462-1161
Mailing Address - Street 1:1105 SCHROCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1146
Mailing Address - Country:US
Mailing Address - Phone:888-987-1132
Mailing Address - Fax:614-987-2075
Practice Address - Street 1:2605 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2504
Practice Address - Country:US
Practice Address - Phone:219-462-8325
Practice Address - Fax:219-531-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0546341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance