Provider Demographics
NPI:1205056744
Name:CITY OF BABBITT
Entity type:Organization
Organization Name:CITY OF BABBITT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-362-6683
Mailing Address - Street 1:1200 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3897
Mailing Address - Country:US
Mailing Address - Phone:218-362-6683
Mailing Address - Fax:218-362-6684
Practice Address - Street 1:71 SOUTH DR
Practice Address - Street 2:
Practice Address - City:BABBITT
Practice Address - State:MN
Practice Address - Zip Code:55706-1232
Practice Address - Country:US
Practice Address - Phone:218-362-6683
Practice Address - Fax:218-362-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN481367700Medicaid
MN69021BAOtherBLUE CROSS BLUE SHIELD
MN791590627OtherRAILROAD MEDICARE
MN599000222Medicare PIN