Provider Demographics
NPI:1124127808
Name:CITY OF HASTINGS
Entity type:Organization
Organization Name:CITY OF HASTINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-480-6153
Mailing Address - Street 1:115 5TH ST W
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-1815
Mailing Address - Country:US
Mailing Address - Phone:651-480-6150
Mailing Address - Fax:651-480-6170
Practice Address - Street 1:115 5TH ST W
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-1815
Practice Address - Country:US
Practice Address - Phone:651-480-6150
Practice Address - Fax:651-480-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0101341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN290868900Medicaid
MN56063 CIMedicaid
WI80446200Medicaid
MN59610128Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MN56063 CIMedicare ID - Type UnspecifiedBC/BS MEDICARE
WI80446200Medicaid