Organization Name: | CITY OF GOTHENBURG |
NPI Number: | 1730145731 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENT L KLINE (RESCUE CAPTAIN) |
Mailing Address: | 610 10th St Gothenburg |
State: | NE US |
Postal Code: | 691382013 |
Phone Number: | 4025724019 |
Fax Number: | 4029658594 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |