Provider Demographics
NPI:1013139583
Name:CITY OF HIBBING
Entity Type:Organization
Organization Name:CITY OF HIBBING
Other - Org Name:HIBBING AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-312-1602
Mailing Address - Street 1:401 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-5510
Mailing Address - Country:US
Mailing Address - Phone:218-312-1602
Mailing Address - Fax:218-403-5706
Practice Address - Street 1:2320 BROOKLYN DR
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-1955
Practice Address - Country:US
Practice Address - Phone:218-312-3002
Practice Address - Fax:218-312-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN112096OtherUCARE
MN69331HIOtherBLUE CROSS BLUE SHIELD
MN590656409OtherRAILROAD MEDICARE
MN232767800Medicaid
MN232767800Medicaid