Provider Demographics
NPI:1750133013
Name:CITY OF JACKSON
Entity type:Organization
Organization Name:CITY OF JACKSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SKARET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-847-4410
Mailing Address - Street 1:80 W ASHLEY ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MN
Mailing Address - Zip Code:56143-1669
Mailing Address - Country:US
Mailing Address - Phone:507-847-4410
Mailing Address - Fax:507-847-5586
Practice Address - Street 1:305 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MN
Practice Address - Zip Code:56143
Practice Address - Country:US
Practice Address - Phone:507-847-5603
Practice Address - Fax:507-847-5586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport