| Organization Name: | CITY OF WINNEBAGO |
| NPI Number: | 1629192422 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD CHARLES MAURIS (AMBULANCE BILLING DEPARTMENT) |
| Mailing Address: | 140 South Main Winnebago |
| State: | MN US |
| Postal Code: | 560980035 |
| Phone Number: | 5078933217 |
| Fax Number: | 5078933473 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | 0271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |