Provider Demographics
NPI:1134166077
Name:CITY OF RUSHFORD
Entity type:Organization
Organization Name:CITY OF RUSHFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK/TREAS.
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-864-2444
Mailing Address - Street 1:101 N MILL ST
Mailing Address - Street 2:PO BOX 430
Mailing Address - City:RUSHFORD
Mailing Address - State:MN
Mailing Address - Zip Code:55971-9195
Mailing Address - Country:US
Mailing Address - Phone:507-864-2444
Mailing Address - Fax:507-864-7003
Practice Address - Street 1:101 N MILL ST
Practice Address - Street 2:
Practice Address - City:RUSHFORD
Practice Address - State:MN
Practice Address - Zip Code:55971-9195
Practice Address - Country:US
Practice Address - Phone:507-864-2444
Practice Address - Fax:507-864-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN39185RUOtherBC/BS AND BLUE PLUS
MN632867900Medicaid
MN632867900Medicaid