Provider Demographics
NPI:1104351162
Name:CITY OF KIESTER
Entity type:Organization
Organization Name:CITY OF KIESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-294-3161
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:116 N MAIN STREET
Mailing Address - City:KIESTER
Mailing Address - State:MN
Mailing Address - Zip Code:56051
Mailing Address - Country:US
Mailing Address - Phone:507-294-3161
Mailing Address - Fax:507-294-3960
Practice Address - Street 1:116 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:KIESTER
Practice Address - State:MN
Practice Address - Zip Code:56051
Practice Address - Country:US
Practice Address - Phone:507-294-3161
Practice Address - Fax:507-294-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport