Provider Demographics
NPI:1912067737
Name:CITY OF HARMONY
Entity Type:Organization
Organization Name:CITY OF HARMONY
Other - Org Name:HARMONY VOLUNTEER AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRABAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-886-8122
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:MN
Mailing Address - Zip Code:55939-0488
Mailing Address - Country:US
Mailing Address - Phone:507-886-8122
Mailing Address - Fax:507-886-2818
Practice Address - Street 1:920 MAIN AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:MN
Practice Address - Zip Code:55939
Practice Address - Country:US
Practice Address - Phone:507-886-8122
Practice Address - Fax:507-886-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN812267900Medicaid
MN39779HAOtherBLUE CROSS BLUE SHIELD
MN590611132Medicare PIN