Provider Demographics
NPI:1396403424
Name:CITY OF CHISHOLM
Entity type:Organization
Organization Name:CITY OF CHISHOLM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SKRABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-254-7960
Mailing Address - Street 1:316 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:CHISHOLM
Mailing Address - State:MN
Mailing Address - Zip Code:55719-3708
Mailing Address - Country:US
Mailing Address - Phone:218-254-7900
Mailing Address - Fax:
Practice Address - Street 1:201 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:CHISHOLM
Practice Address - State:MN
Practice Address - Zip Code:55719-1000
Practice Address - Country:US
Practice Address - Phone:218-254-7902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport