Provider Demographics
NPI:1750146213
Name:CITY BUILDERS AND SUPPLIES
Entity type:Organization
Organization Name:CITY BUILDERS AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-277-4000
Mailing Address - Street 1:2009 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-1362
Mailing Address - Country:US
Mailing Address - Phone:319-277-4000
Mailing Address - Fax:
Practice Address - Street 1:5005 CONARD RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-9219
Practice Address - Country:US
Practice Address - Phone:319-240-3786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty