Provider Demographics
NPI:1770589657
Name:CITY OF HECTOR
Entity type:Organization
Organization Name:CITY OF HECTOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAWITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-848-2122
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:HECTOR
Mailing Address - State:MN
Mailing Address - Zip Code:55342
Mailing Address - Country:US
Mailing Address - Phone:320-848-2122
Mailing Address - Fax:320-848-6582
Practice Address - Street 1:340 HWY 212
Practice Address - Street 2:
Practice Address - City:HECTOR
Practice Address - State:MN
Practice Address - Zip Code:55342
Practice Address - Country:US
Practice Address - Phone:320-848-2122
Practice Address - Fax:320-848-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1A882HEOtherBLUE CROSS BLUE SHIELD
MN821068300Medicaid
MN821068300Medicaid